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ECCELLA SMILES PA
NPI 1568852010
Dentist - General Practice in Jacksonville Beach, FL

Active since February 04, 2015
1400 MARSH LANDING PKWY, SUITE 104, JACKSONVILLE BEACH, FL 32250(904) 834-3737 Get Directions Write a Review

NPPES record last updated: February 4, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Eccella Smiles Pa NPPES

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

ECCELLA SMILES PA (NPI 1568852010) is a healthcare organization registered as a general practice in Jacksonville Beach, Florida and active in the NPI registry since February 2015. The organization lists William Scott Wagner, Owner, as its authorized official.

NPPES Registry Identity

NPI1568852010
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameECCELLA SMILES PA
Location Address1400 MARSH LANDING PKWY, SUITE 104Jacksonville Beach, FL 32250-2493
Mailing Address1400 Marsh Landing Pkwy, Suite 104Jacksonville Beach, FL 32250-2493 · (904) 834-3737
Phone(904) 834-3737
Organization SubpartNo
Authorized OfficialWilliam Scott WagnerOwner · (904) 834-3737
Enumeration DateFebruary 4, 2015
✔ NPI 1568852010 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 · DN14961
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.
1400 MARSH LANDING PKWY, Jacksonville Beach, FL 32250
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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

Other Providers at the Same Location NPPES 2

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

DR. WILLIAM SCOTT WAGNER D.M.D., P.A.
Dentist (General Practice)
1400 MARSH LANDING PKWY, SUITE 104
JACKSONVILLE BEACH, FL 32250
Duval County (904) 834-3737
KATHRYN MARIE WOOD PT, DPT
Physical Therapist
1400 MARSH LANDING PKWY, SUITE 112
JACKSONVILLE BEACH, FL 32250
Duval County (904) 249-2100

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 Eccella Smiles PA's NPI number?

The NPI number for Eccella Smiles PA is 1568852010. It was assigned to this organization in the NPPES registry on February 4, 2015.

Where is Eccella Smiles PA located?

Eccella Smiles PA is located at 1400 Marsh Landing Pkwy Suite 104, Jacksonville Beach, FL 32250. The listed phone number is (904) 834-3737.

What is Eccella Smiles 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 Eccella Smiles PA was last updated on February 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.