PEDIATRIC SMILES INC NPI 1912014937

NPI Information

PEDIATRIC SMILES, INC is a pediatric dentistry dentist in Jacksonville, FL. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. PEDIATRIC SMILES, INC NPI is 1912014937. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2262 DUNN AVE
STE 4
JACKSONVILLE, FL
ZIP 32218
Phone: (904) 751-5126
Fax: (904) 751-5146

The provider's authorized official is Staci Suggs .
The authorized official title is Owner/dentist and has the following contact phone number (904) 751-5126.

The enumeration date for this NPI number is 8/24/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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