Pediatric Smiles, Inc

LBN: Pediatric Smiles, Inc
Pediatric Smiles, Inc is an health care organization with primary practice located at 2262 Dunn Ave Ste 4, Jacksonville FL 32218. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Pediatric Smiles, Inc can be contacted via phone (904) 751-5126, or through Suggs, Staci via phone (904) 751-5126.

Contact Information

Primary practice address
2262 Dunn Ave Ste 4 Jacksonville FL 32218
Phone: (904) 751-5126
Fax: (904) 751-5146
Website:
Map and Directions
Authorized official contact:
Name: Suggs, Staci Doctor of Dental Surgery (DDS)
Phone: (904) 751-5126

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X DN 15344 Florida

Profile Details

NPI number 1912014937
LBN Legal business name Pediatric Smiles, Inc
DBA Doing business as
Authorized official Suggs, Staci Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 24th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912014937 NPPES
Florida Other 70084 ADI HEALTHY KIDS

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