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The Smile Store-palm Beach Gardens, P.a.
Orthodontics and Dentofacial Orthopedic Dentist in Palm Beach Gardens, Florida
NPI 1396492898

The Smile Store-palm Beach Gardens, P.a. is a Orthodontics and Dentofacial Orthopedic Dentist based in Palm Beach Gardens, FL and is specialized in Orthodontics and Dentofacial Orthopedics. The Smile Store-palm Beach Gardens, P.a. practices in Palm Beach Gardens, FL. The NPI Number for The Smile Store-palm Beach Gardens, P.a. is 1396492898 and holds a License No. (Florida).

The current practice location address for The Smile Store-palm Beach Gardens, P.a. is 4362 Northlake Blvd Ste 114, Palm Beach Gardens, FL and can be reached out via phone at 561-658-4100 and via fax at 866-333-2309.

Location: 4362 Northlake Blvd Ste 114, Palm Beach Gardens, FL, 33410-6269
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1396492898
Provider Name
The Smile Store-palm Beach Gardens, P.a.
Credential
Provider Entity Type
Organization
Address
4362 Northlake Blvd Ste 114, Palm Beach Gardens, FL, 33410-6269
Phone Number
561-658-4100
Fax Number
866-333-2309
Provider Enumeration Date
03/04/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
105737100 05 FL
1154348233 01 FL TYPE 1 NPI PROVIDER ID DR. SAVASTANO
1518505692 01 FL NPI 2 OF OLD TIN/LLC NAME FOR SAME DOCTOR, SAME LOCATION
DN15487 01 FL DENTAL LICENSE
institution
Provider Business Practice Location Address Details
Address
4362 Northlake Blvd Ste 114
City
Palm Beach Gardens
State
Florida
Zip
33410-6269
Phone Number
561-658-4100
Fax Number
866-333-2309
person
Provider Business Mailing Address Details
Address
4362 Northlake Blvd Ste 114
City
Palm Beach Gardens
State
Florida
Zip
33410-6269
Phone Number
561-658-4100
Fax Number
866-333-2309
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Orthodontics and Dentofacial Orthopedics
Taxonomy
1223X0400X
License No.
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Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
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