MEDICARE: BEST SMILES ROAD II LLC

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	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1538027933
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEST SMILES ROAD II LLC

Provider Business Mailing Address
First Line	:	5970 S JOG RD STE E
Second Line	:
City	:	GREENACRES
State	:	FL
Zip	:	33467-6576
Country	:	US
Telephone Number	:	561-434-4344
Fax Number	:

Provider Business Practice Location Address
First Line	:	5970 S JOG RD STE E
Second Line	:
City	:	GREENACRES
State	:	FL
Zip	:	33467-6576
Country	:	US
Telephone Number	:	561-434-4344
Fax Number	:

Authorized Official
Title or Position	:	DMD
Name	:	CAMILO RODRIGUEZ
Credential	:	DMD
Telephone Number	:	561-434-4344

Provider Enumeration Date	:	01/13/2026
Last Update Date	:	01/13/2026

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