Organization
SMILING KIDDS DENTISTRY, P.A.
Active
Parent organization
SMILING KIDDS DENTISTRY, P.A.
Other names
Kissimmee Children's Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
SMILING KIDDS DENTISTRY, P.A.
Authorized official
MR. ANDREW WEAVER (PRACTICE ADMINISTRATOR)
(904) 395-7772
Entity
Organization
Contact information
Practice address
595 OAK COMMONS BLVD STE C, KISSIMMEE, FL 34741-4211
(407) 870-0717
Mailing address
3030 HARTLEY RD STE 310, JACKSONVILLE, FL 32257-8213
(904) 395-7772
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
09/08/2021
Last updated
11/05/2024
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