MEDICARE: ISA SMILES 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	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1760348866
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ISA SMILES LLC

Provider Business Mailing Address
First Line	:	3260 NW 7TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33125-4102
Country	:	US
Telephone Number	:	305-615-5440
Fax Number	:	786-605-5145

Provider Business Practice Location Address
First Line	:	3260 NW 7TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33125-4102
Country	:	US
Telephone Number	:	305-615-5440
Fax Number	:	786-605-5145

Authorized Official
Title or Position	:	CEO
Name	:	DR. ISAMARY HERRERA
Credential	:	DMD
Telephone Number	:	305-615-5440

Provider Enumeration Date	:	01/02/2026
Last Update Date	:	01/02/2026

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Directions to “ISA SMILES LLC ” Practice Location

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