MEDICARE: SMILEBUILDERS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	DN10153	FL

General Provider Information

NPI Number	:	1134215445
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SMILEBUILDERS INC

Provider Business Mailing Address
First Line	:	2401 PGA BLVD STE 270
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-3516
Country	:	US
Telephone Number	:	561-624-2088
Fax Number	:	561-624-0015

Provider Business Practice Location Address
First Line	:	2401 PGA BLVD STE 270
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33410-3516
Country	:	US
Telephone Number	:	561-624-2088
Fax Number	:	561-624-0015

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	STACIE SCIOLINO
Credential	:
Telephone Number	:	561-624-2088

Provider Enumeration Date	:	10/05/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1417043704 — FRANCIS J SCIOLINO DDS
Practice Location Address:

2401 PGA BLVD STE 270
PALM BEACH GARDENS, FL
33410-3516

Practice Phone: 561-624-2088
Practice Fax: 561-624-0015

1699901512 — STACIE AHEE D.C.
Practice Location Address:

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PALM BEACH GARDENS, FL
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1780993527 — HILLARY SHEITELMAN PA-C
Practice Location Address:

2401 PGA BLVD STE 150
PALM BEACH GARDENS, FL
33410-3516

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Practice Fax:

1144667866 — DR. ADHAM HASSAN RASHWAN PT, DPT, OCS, MTC
Practice Location Address:

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33410-3516

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1366894917 — CAROL MORLEY
Practice Location Address:

2401 PGA BLVD STE 155
PALM BEACH GARDENS, FL
33410-3516

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1700506573 — DR. SIAN DEL MAR HOCTOR DMD
Practice Location Address:

2401 PGA BLVD STE 270
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33410-3516

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Practice Fax:

Directions to “SMILEBUILDERS INC ” Practice Location

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