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KIDS DENTAL PLACE
NPI 1093401101
Dentist - Pediatric Dentistry in Crestview, FL

Active since April 12, 2023
101 4TH AVE STE B, CRESTVIEW, FL 32539(850) 384-9171 Get Directions Write a Review

NPPES record last updated: April 12, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kids Dental Place NPPES

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

KIDS DENTAL PLACE (NPI 1093401101), doing business as Crestview Wild Smiles, is a healthcare organization registered as a pediatric dentistry in Crestview, Florida and active in the NPI registry since April 2023. The organization lists Rachel Witcher, Owner/doctor, as its authorized official.

NPPES Registry Identity

NPI1093401101
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameKIDS DENTAL PLACE
Location Address101 4TH AVE STE BCrestview, FL 32539-2401
Mailing Address3201 E Olive Rd Ste BPensacola, FL 32514-7237 · (850) 477-1722 · Fax (850) 476-8108
Phone(850) 384-9171
Organization SubpartYes
Authorized OfficialRachel WitcherOwner/doctor · (850) 477-1722
Enumeration DateApril 12, 2023
NPPES CertifiedApril 12, 2023
✔ NPI 1093401101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
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.
101 4TH AVE STE B, Crestview, FL 32539
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Other Names 1

Doing Business AsCrestview Wild Smiles

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES

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

LAUREN SIMON SEJAN DMD
Dentist (Pediatric Dentistry)
101 4TH AVE STE B
CRESTVIEW, FL 32539
Okaloosa County (850) 384-9171

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 Dental Place's NPI number?

The NPI number for Kids Dental Place is 1093401101. It was assigned to this organization in the NPPES registry on April 12, 2023. The provider is doing business as Crestview Wild Smiles.

Where is Kids Dental Place located?

Kids Dental Place is located at 101 4th Ave Ste B, Crestview, FL 32539. The listed phone number is (850) 384-9171.

What is Kids Dental Place's specialty?

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

What insurance does Kids Dental Place accept?

Health plans from UnitedHealthcare list Kids Dental Place as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kids Dental Place was last updated on April 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.