Organization · Type 2 NPI

Smiling Kidds Dentistry, P.a.

Pediatric Dentistry · St. Augustine, FL

NPI number 1881290211 Active

Practice location

1100 S Ponce De Leon Blvd Ste 2
St. Augustine, FL 32084-6013

Call (904) 829-6321 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.

3 other providers at this address

Other pediatric dentistry providers in St. Augustine

Little Love Pediatric Dentistry and WellnessPediatric Dentistry St. Augustine, FL NPI 1003612730

See all in St. Augustine →

NPI record

NPI: 1881290211
Entity type: Organization (Type 2)
Issued: Dec 10, 2020
Last updated: Mar 20, 2023
Status: Active

Other names

<unavail>
Seaside Children's Dentistry · doing business as
Seaside Children's Dentistry · doing business as

Authorized official

Mr. Andrew Weaver
Administrator
(904) 395-7772

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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 1881290211

Smiling Kidds Dentistry, P.a.'s National Provider Identifier is 1881290211, issued on Dec 10, 2020. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in St. Augustine, FL. The record was last updated on Mar 20, 2023.