Organization
CENTRAL FLORIDA SMILES, INC
Active
Other names
Savastano & Dunn Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS JOHN SAVASTANO JR. DMD.,MS (PRESIDENT OWNER)
(407) 862-1870
Entity
Organization
Contact information
Practice address
2855 W SR 434, SUITE 1011, LONGWOOD, FL 32779
(407) 862-1870
(407) 682-7004
Mailing address
2855 W SR 434, SUITE 1011, LONGWOOD, FL 32779
(407) 862-1870
(407) 682-7004
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
15487
FL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
6776
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1953103
UNITED CONCORDIA PROVIDER
FL
01
—
553680
UNITED CONCORDIA #
FL
01
—
592036601
TAX ID #
FL
01
—
86838
BCBS PROVIDER#
FL
01
—
9006776
DELTA DENTAL PROVIDER#
FL
Enumeration date
05/03/2007
Last updated
03/07/2023
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