Provider Demographics
NPI:1548050271
Name:HARMONY SMILES OF OLDSMAR LLC
Entity type:Organization
Organization Name:HARMONY SMILES OF OLDSMAR LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALENA
Authorized Official - Middle Name:
Authorized Official - Last Name:KVASHENKA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:757-319-8210
Mailing Address - Street 1:3937 TAMPA RD STE 1
Mailing Address - Street 2:
Mailing Address - City:OLDSMAR
Mailing Address - State:FL
Mailing Address - Zip Code:34677-3115
Mailing Address - Country:US
Mailing Address - Phone:813-749-7573
Mailing Address - Fax:
Practice Address - Street 1:3937 TAMPA RD STE 1
Practice Address - Street 2:
Practice Address - City:OLDSMAR
Practice Address - State:FL
Practice Address - Zip Code:34677-3115
Practice Address - Country:US
Practice Address - Phone:813-749-7573
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-07
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental