SMILEOLOGY
NPI 1104294669
Dentist - General Practice in Niceville, FL

Active since September 14, 2015
4400 E HIGHWAY 20 STE 101, NICEVILLE, FL 32578(850) 897-4488 Get Directions Write a Review

NPPES record last updated: March 4, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Smileology NPPES

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

SMILEOLOGY (NPI 1104294669) is a healthcare organization registered as a general practice in Niceville, Florida and active in the NPI registry since September 2015. The organization lists Olivier Broutin, Director, as its authorized official.

NPPES Registry Identity

NPI1104294669
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBLUEWATER BAY DENTAL, PA
Location Address4400 E HIGHWAY 20 STE 101Niceville, FL 32578-9735
Mailing Address4400 E Highway 20 Ste 101Niceville, FL 32578-9735 · (850) 897-4488
Organization SubpartNo
Authorized OfficialOlivier BroutinDirector · (850) 897-4488
Enumeration DateSeptember 14, 2015
Last NPPES UpdateMarch 4, 2022
NPPES CertifiedMarch 4, 2022
NPI 1104294669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in FL · DN15111
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
4400 E HIGHWAY 20 STE 101, Niceville, FL 32578

Other Names 1

Doing Business AsSmileology

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Bluewater Bay Dental, PA's NPI number?

The NPI number for Bluewater Bay Dental, PA is 1104294669. It was assigned to this organization in the NPPES registry on September 14, 2015. The provider is doing business as Smileology.

Where is Bluewater Bay Dental, PA located?

Bluewater Bay Dental, PA is located at 4400 E Highway 20 Ste 101, Niceville, FL 32578. The listed phone number is (850) 897-4488.

What is Bluewater Bay Dental, PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Bluewater Bay Dental, PA was last updated on March 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.