SMILE DESIGN EAGLE CREEK LLC
NPI 1265388987
Dentist - General Practice in Naples, FL

Active since March 05, 2026
12692 TAMIAMI TRL E, NAPLES, FL 34113(239) 417-6453(239) 203-2355 Get Directions Write a Review

NPPES record last updated: March 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Smile Design Eagle Creek Llc NPPES

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

SMILE DESIGN EAGLE CREEK LLC (NPI 1265388987) is a healthcare organization registered as a general practice in Naples, Florida and active in the NPI registry since March 2026. The organization lists Juli Renee Mietzner, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1265388987
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSMILE DESIGN EAGLE CREEK LLC
Location Address12692 TAMIAMI TRL ENaples, FL 34113-8431
Mailing Address12692 Tamiami Trl ENaples, FL 34113-8431 · (239) 417-6453 · Fax (239) 203-2355
Fax(239) 203-2355
Organization SubpartYes
Authorized OfficialJuli Renee MietznerCredentialing Manager · (217) 540-5651
Enumeration DateMarch 5, 2026
NPPES CertifiedMarch 5, 2026
NPI 1265388987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
12692 TAMIAMI TRL E, Naples, FL 34113

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 5

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

Dental Hygienist
12692 TAMIAMI TRL E
NAPLES, FL 34113
Dentist
12692 TAMIAMI TRL E
NAPLES, FL 34113
Dental Hygienist
12692 TAMIAMI TRL E
NAPLES, FL 34113
Dentist (General Practice)
12692 TAMIAMI TRL E
NAPLES, FL 34113
Dentist (General Practice)
12692 TAMIAMI TRL E
NAPLES, FL 34113

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 Smile Design Eagle Creek LLC's NPI number?

The NPI number for Smile Design Eagle Creek LLC is 1265388987. It was assigned to this organization in the NPPES registry on March 5, 2026.

Where is Smile Design Eagle Creek LLC located?

Smile Design Eagle Creek LLC is located at 12692 Tamiami Trl E, Naples, FL 34113. The listed phone number is (239) 417-6453.

What is Smile Design Eagle Creek LLC'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 Smile Design Eagle Creek LLC was last updated on March 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.