Organization
NEXTSTEP SMILES PBG LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES ETHEREDGE DMD (DENTIST/OWNER)
(561) 704-7941
Entity
Organization
Contact information
Practice address
3365 BURNS RD STE 214, PALM BEACH GARDENS, FL 33410-4312
(561) 679-6544
Mailing address
3365 BURNS RD STE 214, PALM BEACH GARDENS, FL 33410-4312
(561) 679-6544
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/09/2026
Last updated
02/09/2026
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