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KIDS SMILES DENTAL, PLLC
NPI 1033661848
Dentist - Pediatric Dentistry in Tampa, FL

Active since October 27, 2016
1773 W FLETCHER AVE, TAMPA, FL 33612(813) 968-2483 Get Directions Write a Review

NPPES record last updated: July 23, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 23, 2018, Oct 27, 2016 (2 updates tracked since 2016).

About Kids Smiles Dental, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIDS SMILES DENTAL, PLLC (NPI 1033661848) is a healthcare organization registered as a pediatric dentistry in Tampa, Florida and active in the NPI registry since October 2016. The organization lists Neely Jordan, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1033661848
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameKIDS SMILES DENTAL, PLLC
Location Address1773 W FLETCHER AVETampa, FL 33612
Mailing Address1773 W Fletcher AveTampa, FL 33612-1820 · (813) 968-2483
Phone(813) 968-2483
Organization SubpartYesParent: Kids Smiles Partners, Pllc
Authorized OfficialNeely JordanDirector Of Operations · (813) 968-2483
Enumeration DateOctober 27, 2016
Last NPPES UpdateJuly 23, 20182 updates tracked since enumeration
✔ NPI 1033661848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in FL · DN13285
Definition
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.
1773 W FLETCHER AVE, Tampa, FL 33612
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Other Identifiers 2

Medicaid075109000FL
Medicaid017306300FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BLUE WAVE ORTHO PARTNERS PLLC
Dentist (Orthodontics and Dentofacial Orthopedics)
1773 W FLETCHER AVE
TAMPA, FL 33612
Hillsborough County (813) 968-2483
BELAL HEDDAYA DDS, MS
Dentist (Orthodontics and Dentofacial Orthopedics)
1773 W FLETCHER AVE
TAMPA, FL 33612
Hillsborough County (813) 812-8864
KIDS SMILES PEDO, PLLC
Dentist (Pediatric Dentistry)
1773 W FLETCHER AVE
TAMPA, FL 33612
Hillsborough County (813) 968-2483

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kids Smiles Dental, PLLC's NPI number?

The NPI number for Kids Smiles Dental, PLLC is 1033661848. It was assigned to this organization in the NPPES registry on October 27, 2016.

Where is Kids Smiles Dental, PLLC located?

Kids Smiles Dental, PLLC is located at 1773 W Fletcher Ave, Tampa, FL 33612. The listed phone number is (813) 968-2483.

What is Kids Smiles Dental, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Kids Smiles Dental, PLLC was last updated on July 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.