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CORAL RIDGE SMILE
NPI 1689794505
Dentist - General Practice in Ft Lauderdale, FL

Active since April 02, 2007
2324 NE 53RD ST, FT LAUDERDALE, FL 33308(954) 990-6543(954) 491-4876 Get Directions Write a Review

NPPES record last updated: February 16, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Coral Ridge Smile NPPES

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

CORAL RIDGE SMILE (NPI 1689794505) is a healthcare organization registered as a general practice in Ft Lauderdale, Florida and active in the NPI registry since April 2007. The organization lists Mandana Mir Esmaili, Owner, as its authorized official.

NPPES Registry Identity

NPI1689794505
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCORAL RIDGE SMILE
Location Address2324 NE 53RD STFt Lauderdale, FL 33308-3212
Mailing Address2324 Ne 53rd St.Ft. Lauderdale, FL 33308 · (954) 990-6543 · Fax (954) 941-4876
Phone(954) 990-6543
Fax(954) 491-4876
Organization SubpartYesParent: Mandana Inc.
Authorized OfficialMandana Mir EsmailiOwner · (954) 990-6543
Enumeration DateApril 2, 2007
Last NPPES UpdateFebruary 16, 2012
✔ NPI 1689794505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2324 NE 53RD ST, Ft Lauderdale, FL 33308
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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.

LIFE TEMPO ACUPUNCTURE
Acupuncturist
2324 NE 53RD ST
FORT LAUDERDALE, FL 33308
Broward County (954) 530-2379

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 Coral Ridge Smile's NPI number?

The NPI number for Coral Ridge Smile is 1689794505. It was assigned to this organization in the NPPES registry on April 2, 2007.

Where is Coral Ridge Smile located?

Coral Ridge Smile is located at 2324 NE 53rd St, Ft Lauderdale, FL 33308. The listed phone number is (954) 990-6543.

What is Coral Ridge Smile's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Coral Ridge Smile was last updated on February 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.