Provider Demographics
NPI:1356221105
Name:EMAS DENTAL SPA, CORP, DBA SMILES BY GRACE
Entity type:Organization
Organization Name:EMAS DENTAL SPA, CORP, DBA SMILES BY GRACE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GRACIELA
Authorized Official - Middle Name:
Authorized Official - Last Name:DUCASSE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:407-492-9184
Mailing Address - Street 1:7205 CURRY FORD RD STE 4
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32822-5888
Mailing Address - Country:US
Mailing Address - Phone:407-275-8800
Mailing Address - Fax:407-275-9110
Practice Address - Street 1:7205 CURRY FORD RD STE 4
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32822-5888
Practice Address - Country:US
Practice Address - Phone:407-275-8800
Practice Address - Fax:407-275-9110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-03
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty