Pediatric Smiles, Inc in Jacksonville - Pediatric Dentistry
Pediatric Smiles, Inc - NPI 1912014937
Pediatric Smiles, Inc is a Pediatric Dentistry in Jacksonville, Florida. Pediatric Smiles, Inc practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Pediatric Smiles, Inc is 1912014937. The last update date is 2020-08-22.
Pediatric Smiles, Inc's current location address is Po Box 26701, Jacksonville, Florida. You can contact this provider via phone number 9047515126 and fax number 9047515146. The mailing address for Pediatric Smiles, Inc is Po Box 26701, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pediatric Smiles, Inc |
|---|---|
| Address | Po Box 26701, Jacksonville, Florida |
| Phone Number | 9047515126 |
| Fax Number | 9047515146 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/DENT |
|---|---|
| Authorized Official Name | Suggs Staci |
| Credentials | D.D.S. |
| Telephone Number | 9047515126 |
NPI Number Detail
| NPI Number | 1912014937 |
|---|---|
| Provider Enumeration Date | 2006-08-24 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box 26701 |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322266701 |
| Phone Number | 9047515126 |
| Fax Number | 9047515146 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | DN 15344 |
|
Definition: 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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 70084 | FL | ADI HEALTHY KIDS |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Pediatric Smiles, Inc by the Centers for Medicare & Medicaid Services?
The Pediatric Smiles, Inc has been assigned the NPI (National Provider Identifier) 1912014937 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Pediatric Smiles, Inc is physically located?
The Pediatric Smiles, Inc is physically situated at the following address: Po Box 26701, Jacksonville, FL, 322266701.
What is Pediatric Smiles, Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Pediatric Smiles, Inc is Pediatric Dentistry, and the taxonomy classification code that categorizes this area of expertise is 1223P0221X.
When was the Pediatric Smiles, Inc's 1912014937 issued?
The Pediatric Smiles, Inc's 1912014937 was issued on 2006-08-24.
As of what date was the information regarding Pediatric Smiles, Inc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Pediatric Smiles, Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.