Organization
JK SMILES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VAIBHAV JAGAD DMD (DENTIST)
(815) 995-2852
Entity
Organization
Contact information
Practice address
79 LYNNFIELD ST, PEABODY, MA 01960-5201
(815) 995-2852
Mailing address
320 MIDDLESEX AVE UNIT C208, MEDFORD, MA 02155-5084
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223P0221X
Pediatric Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
12/17/2025
Last updated
12/17/2025
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