Organization · Type 2 NPI

Smiling Kidds Dentistry, P.a.

Pediatric Dentistry · Jacksonville, FL

NPI number 1255937686 Active

Practice location

9857 Old Saint Augustine Rd Ste 3
Jacksonville, FL 32257-8821

Call (904) 880-5437 Map

Mailing address

3020 Hartley Rd Ste 210
Jacksonville, FL 32257-8206

Specialties and licenses

Taxonomy	Code	License
Pediatric Dentistry Primary	1223P0221X	None listed

Pediatric Dentistry: 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.

Another provider at this address

Kelley Downs, DDSPediatric Dentistry Jacksonville, FL NPI 1104442722

Other pediatric dentistry providers in Jacksonville

See all in Jacksonville →

NPI record

NPI: 1255937686
Entity type: Organization (Type 2)
Issued: Dec 10, 2020
Last updated: Aug 26, 2021
Status: Active
Subpart: Yes of Smiling Kidds Dentistry, P.a.

Other names

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River City Pediatric Dentistry · doing business as
River City Pediatric Dentistry · doing business as

Authorized official

Andrew Weaver
Administrator
(904) 395-7772

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1255937686

Smiling Kidds Dentistry, P.a.'s National Provider Identifier is 1255937686, issued on Dec 10, 2020. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Jacksonville, FL. The record was last updated on Aug 26, 2021.