Provider Demographics
NPI:1679314561
Name:SMILE-FX, PA
Entity type:Organization
Organization Name:SMILE-FX, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:AKIL
Authorized Official - Middle Name:
Authorized Official - Last Name:ALEXANDER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:321-431-2543
Mailing Address - Street 1:11225 MIRAMAR PKWY STE B285
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33025-1964
Mailing Address - Country:US
Mailing Address - Phone:321-431-2543
Mailing Address - Fax:
Practice Address - Street 1:11225 MIRAMAR PKWY STE B285
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33025-1964
Practice Address - Country:US
Practice Address - Phone:321-431-2543
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-04
Last Update Date:2024-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLDN26545OtherFLORIDA DENTAL LICENSE