Provider Demographics
NPI:1093224032
Name:ALL SMILES SLEEP SOLUTIONS LLC
Entity type:Organization
Organization Name:ALL SMILES SLEEP SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:N
Authorized Official - Last Name:GRIMAUDO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:813-504-3625
Mailing Address - Street 1:17200 CAMELOT COURT
Mailing Address - Street 2:
Mailing Address - City:LAND O LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:34638
Mailing Address - Country:US
Mailing Address - Phone:813-345-8580
Mailing Address - Fax:813-920-6712
Practice Address - Street 1:4830 W KENNEDY BLVD STE 600
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33609-2584
Practice Address - Country:US
Practice Address - Phone:941-757-4642
Practice Address - Fax:855-296-7042
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GEORGE S YATROS DENTAL SLEEP LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-09-21
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN12435332B00000X, 335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies