1. Home
  2. Directory
  3. Florida
  4. Ponte Vedra
  5. Clinic Center
  6. NPI Profile

GUIDED SMILES PROSTHODONTICS & IMPLANT CENTER PLLC
NPI 1114641339
Clinic/Center - Dental in Ponte Vedra, FL

Active since September 30, 2022
153 FORT WADE ROAD, STE 100, PONTE VEDRA, FL 32081(904) 395-5501 Get Directions Write a Review

NPPES record last updated: September 30, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Guided Smiles Prosthodontics & Implant Center Pllc NPPES

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

GUIDED SMILES PROSTHODONTICS & IMPLANT CENTER PLLC (NPI 1114641339) is a healthcare organization registered as a dental in Ponte Vedra, Florida and active in the NPI registry since September 2022. The organization lists Alonzo Carlos Blackmon, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1114641339
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameGUIDED SMILES PROSTHODONTICS & IMPLANT CENTER PLLC
Location Address153 FORT WADE ROAD, STE 100Ponte Vedra, FL 32081
Mailing Address153 Fort Wade Road, Ste 100Ponte Vedra, FL 32081
Phone(904) 395-5501
Organization SubpartNo
Authorized OfficialAlonzo Carlos BlackmonAuthorized Official · (904) 395-5501
Enumeration DateSeptember 30, 2022
NPPES CertifiedSeptember 28, 2022
✔ NPI 1114641339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
153 FORT WADE ROAD, Ponte Vedra, FL 32081
Open in Google Maps ↗

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 Guided Smiles Prosthodontics & Implant Center PLLC's NPI number?

The NPI number for Guided Smiles Prosthodontics & Implant Center PLLC is 1114641339. It was assigned to this organization in the NPPES registry on September 30, 2022.

Where is Guided Smiles Prosthodontics & Implant Center PLLC located?

Guided Smiles Prosthodontics & Implant Center PLLC is located at 153 Fort Wade Road Ste 100, Ponte Vedra, FL 32081. The listed phone number is (904) 395-5501.

What is Guided Smiles Prosthodontics & Implant Center PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Guided Smiles Prosthodontics & Implant Center PLLC was last updated on September 30, 2022. 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.