# NUSMILE DENTAL- SEMINOLE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114333218
- **Authorized official:** DR. NADIA ONEAL (DENTIST)
- **Authorized official phone:** (727) 393-6962

## Contact information

- **Practice address:** 13611 PARK BLVD, STE. G, SEMINOLE, FL 33776-3437
- **Practice address phone:** (727) 393-6962
- **Practice address fax:** (813) 837-2381
- **Mailing address:** 13611 PARK BLVD, STE. G, SEMINOLE, FL 33776-3437
- **Mailing address phone:** (727) 393-6962
- **Mailing address fax:** (813) 837-2381

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/09/2014
- **Last updated:** 07/09/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 62266 | BCBS OF FL | FL |