Provider Demographics
NPI:1891677399
Name:DIAMOND SMILES, PLLC
Entity type:Organization
Organization Name:DIAMOND SMILES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:FERRANDO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:814-450-6274
Mailing Address - Street 1:628 ARBOR LAKE LN
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33602-5761
Mailing Address - Country:US
Mailing Address - Phone:814-450-6274
Mailing Address - Fax:
Practice Address - Street 1:4416 BRUCE B DOWNS BLVD
Practice Address - Street 2:202
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33543
Practice Address - Country:US
Practice Address - Phone:814-450-6274
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-24
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty