MEDICARE: BEST SMILE DENTAL CARE CORP

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	DN16229	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710275185
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEST SMILE DENTAL CARE CORP

Provider Business Mailing Address
First Line	:	8000 BISCAYNE BLVD
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33138-4621
Country	:	US
Telephone Number	:	786-517-6127
Fax Number	:

Provider Business Practice Location Address
First Line	:	1961 NE 196TH TER
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33179-3629
Country	:	US
Telephone Number	:	786-251-5818
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MARIA C VIDAL
Credential	:
Telephone Number	:	786-251-5818

Provider Enumeration Date	:	07/19/2011
Last Update Date	:	01/19/2021

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Directions to “BEST SMILE DENTAL CARE CORP ” Practice Location

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