COSMIC SMILES PEDIATRIC DENTISTRY
NPI 1366910333
Dentist - Pediatric Dentistry in Fort Lauderdale, FL

Active since November 08, 2018
3027 E COMMERCIAL BLVD, FORT LAUDERDALE, FL 33308(646) 409-6540(954) 246-4577 Get Directions Write a Review

NPPES record last updated: November 8, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cosmic Smiles Pediatric Dentistry NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COSMIC SMILES PEDIATRIC DENTISTRY (NPI 1366910333) is a healthcare organization registered as a pediatric dentistry in Fort Lauderdale, Florida and active in the NPI registry since November 2018. The organization lists Julian Berlin, Owner, as its authorized official.

NPPES Registry Identity

NPI1366910333
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameCOSMIC SMILES PEDIATRIC DENTISTRY
Location Address3027 E COMMERCIAL BLVDFort Lauderdale, FL 33308-3330
Mailing Address200 Leslie Dr Apt 812Hallandale Beach, FL 33009-7317 · (646) 409-6540 · Fax (954) 246-4577
Fax(954) 246-4577
Organization SubpartNo
Authorized OfficialJulian BerlinOwner · (954) 246-4777
Enumeration DateNovember 8, 2018
NPI 1366910333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
3027 E COMMERCIAL BLVD, Fort Lauderdale, FL 33308

Other Identifiers 1

Medicaid03716034NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Pediatric Dentistry)
3027 E COMMERCIAL BLVD
FORT LAUDERDALE, FL 33308

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cosmic Smiles Pediatric Dentistry's NPI number?

The NPI number for Cosmic Smiles Pediatric Dentistry is 1366910333. It was assigned to this organization in the NPPES registry on November 8, 2018.

Where is Cosmic Smiles Pediatric Dentistry located?

Cosmic Smiles Pediatric Dentistry is located at 3027 E Commercial Blvd, Fort Lauderdale, FL 33308. The listed phone number is (646) 409-6540.

What is Cosmic Smiles Pediatric Dentistry's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Cosmic Smiles Pediatric Dentistry was last updated on November 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.