1346089687 NPI number — ALSMILE LLC

Table of content: MS. CYNTHIA RAE SCHLIE MSW (NPI 1912017880)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1346089687 NPI number — ALSMILE LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ALSMILE LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1346089687
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/24/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7550 SW 57TH AVE STE 214
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SOUTH MIAMI
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33143-5336
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
305-667-9860
Provider Business Mailing Address Fax Number:
305-667-9861

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7550 SW 57TH AVE STE 214
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SOUTH MIAMI
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33143-5336
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-667-9860
Provider Business Practice Location Address Fax Number:
305-667-9861
Provider Enumeration Date:
05/24/2024

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
JORGE FORNES
Authorized Official First Name:
PATRICIA
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER / DENTIST
Authorized Official Telephone Number:
305-667-9860

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)