Organization · Type 2 NPI
Great Smile Dental Pediatrics
Pediatric Dentistry · Port St. Lucie, FL
NPI number
1669335212
Active
Practice location
155 SW Port St Lucie Blvd Ste 105
Port St. Lucie, FL 34984-5039
Fax (772) 800-3634
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.
Other pediatric dentistry providers in Port St. Lucie
About NPI 1669335212
Great Smile Dental Pediatrics's National Provider Identifier is 1669335212, issued on Dec 9, 2025. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Port St. Lucie, FL. The record was last updated on Dec 9, 2025.