Organization
SMILE NATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK M BUSCIGLIO DMD (PRESIDENT)
(813) 465-8289
Entity
Organization
Contact information
Practice address
6060 53RD AVE E, SUITE A, BRADENTON, FL 34203-9719
(941) 727-0025
(941) 739-2315
Mailing address
6060 53RD AVE E, SUITE A, BRADENTON, FL 34203-9719
(941) 727-0025
(941) 739-2315
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN14677
FL
Other
Enumeration date
08/27/2015
Last updated
08/27/2015
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