Organization
SMILING KIDDS DENTISTRY, P.A.
Active
Other names
Economy Dentistry for Children
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW WEAVER (CREDENTIALING MANAGER)
(904) 395-7772
Entity
Organization
Contact information
Practice address
3615 DUPONT AVE STE 200-400, JACKSONVILLE, FL 32217-2790
(855) 974-5437
Mailing address
3030 HARTLEY RD STE 310, JACKSONVILLE, FL 32257-8213
(904) 264-5437
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
10/16/2020
Last updated
09/02/2025
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