Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Palm Beach Gardens Ortho Location LLC

Organization Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1518505692

Palm Beach Gardens Ortho Location LLC is an Orthodontics and Dentofacial Orthopedics Dentistry in Palm Beach Gardens, Florida. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

4362 Northlake Blvd Ste 114
Palm Beach Gardens, FL 33410-6269
Phone: (561) 658-4100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X

Record details

NPI number1518505692
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCharleston Orthodontic Specialists, Inc
Authorized official Brenda Cooper — Insurance Coordinator · (561) 658-4100
Other names The Smile Store; The Smile Store
NPI enumeratedDecember 19, 2019
Last updated in NPPESJune 2, 2021
Certification dateJune 2, 2021
Mailing address4362 Northlake Blvd Ste 114, Palm Beach Gardens, FL 33410-6269

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