MEDICARE: MELISSA SMILEY D.M.D.

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	122300000X	Dentist	DN 21540	FL

General Provider Information

NPI Number	:	1811363567
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA SMILEY D.M.D.

Provider Business Mailing Address
First Line	:	329 MAYFAIR CIR E
Second Line	:
City	:	PALM HARBOR
State	:	FL
Zip	:	34683-5817
Country	:	US
Telephone Number	:	727-324-9141
Fax Number	:

Provider Business Practice Location Address
First Line	:	2010 E HILLSBOROUGH AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33610-8255
Country	:	US
Telephone Number	:	727-324-9141
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/17/2015
Last Update Date	:	08/17/2015

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