Organization · NPI-2

Atlas Smiles, PLLC

Dentist · Plantation, FL

NPI number1346754785
StatusActive
Last updated in NPPESOct 17, 2019

Details

NPI
1346754785
Entity type
Organization (NPI-2)
Legal business name
Atlas Smiles, PLLC
Organization subpart
No
Enumeration date
Nov 21, 2017
Last updated
Oct 17, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X DentistDN20898FLYes
1223G0001X Dentist, General Practicedn20898FL

Other names

  • Atlas Smiles (Doing Business As)

Practice location

12331 Sw 3rd St Ste 450
Plantation, FL 33325-2813

Phone 954-604-6777 · Fax 954-604-6777

Mailing address

12331 Sw 3rd St Ste 450
Plantation, FL 33325-2813

Phone 954-604-6777 · Fax 954-604-6777

Authorized official

Anthony Lamar Adkins
Ceo
9544448569

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