OrganizationActive
My Favorite Dental Boutique LLC
NPI 1255182515 · General Practice Dentistry · Longwood, FL
Provider details
- NPI number
- 1255182515
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Paula Grisales Cano, Owner(407) 274-4744
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1670 S US Highway 17 92
Longwood, FL 32750-6516
Phone: (407) 274-4744
Approximate (ZIP-level) locationGet directions
Mailing address
1670 S US Highway 17 92
Longwood, FL 32750-6516
Registry dates
- Enumerated
- 2024-03-27
- Last updated
- 2024-03-27
- Certified
- 2024-03-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.