MEDICARE: DONNA L. SMOLINSKI, D.M.D., P.A.

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	DN13867	FL

General Provider Information

NPI Number	:	1770704264
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DONNA L. SMOLINSKI, D.M.D., P.A.

Provider Business Mailing Address
First Line	:	970 KINGS HWY UNIT 3
Second Line	:
City	:	PORT CHARLOTTE
State	:	FL
Zip	:	33980-4213
Country	:	US
Telephone Number	:	941-766-9156
Fax Number	:	941-766-9260

Provider Business Practice Location Address
First Line	:	970 KINGS HWY UNIT 3
Second Line	:
City	:	PORT CHARLOTTE
State	:	FL
Zip	:	33980-4213
Country	:	US
Telephone Number	:	941-766-9156
Fax Number	:	941-766-9260

Authorized Official
Title or Position	:	DOCTOR
Name	:	DR. DONNA LYNN SMOLINSKI
Credential	:	D.M.D.
Telephone Number	:	941-766-9156

Provider Enumeration Date	:	05/01/2007
Last Update Date	:	02/19/2013

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