GREAT SMILE DENTAL PEDIATRICS
NPI 1669335212
Dentist - Pediatric Dentistry in Port St Lucie, FL

NPI Status: Active since December 09, 2025

Contact Information

155 SW PORT ST LUCIE BLVD STE 105
PORT ST LUCIE, FL
ZIP 34984
Phone: (772) 398-0990
Fax: (772) 800-3634

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  • Organization
  • Dentist
  • Pediatric Dentistry

About GREAT SMILE DENTAL PEDIATRICS

This page provides the complete NPI Profile along with additional information for Great Smile Dental Pediatrics, a provider established in Port St Lucie, Florida operating as a Dentist, focusing in pediatric dentistry . The healthcare provider is registered in the NPI registry with number 1669335212 assigned on December 2025. The practitioner's primary taxonomy code is 1223P0221X. The provider is registered as an organization and their NPI record was last updated one year ago. Great Smile Dental Pediatrics operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Aaron M Schamback Dmd (Owner)

NPI
1669335212
Provider Name
GREAT SMILE DENTAL PEDIATRICS
Entity Type
Organization
Location Address
155 SW PORT ST LUCIE BLVD STE 105 PORT ST LUCIE, FL 34984
Location Phone
(772) 398-0990
Location Fax
(772) 800-3634
Mailing Address
155 SW PORT ST LUCIE BLVD STE 105 PORT ST LUCIE, FL 34984
Mailing Phone
(772) 398-0990
Mailing Fax
(772) 800-3634
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-09-2025
Last Update Date
12-09-2025
Code Navigator

A dentist like Great Smile Dental Pediatrics is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist Pediatric Dentistry

Taxonomy Code
1223P0221X
Type
Dental Providers
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. AARON M SCHAMBACK DMD

Authorized Official Title
OWNER
Authorized Official Phone
(772) 398-0990

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1669335212, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
9
Unchanged
Pos 5
3
Doubled → 6
Pos 6
3
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
2
Unchanged
Pos 9
1
Doubled → 2
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 3 → 6 5 → 10 → 1 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 2 + 9 + 6 + 3 + 1 + 0 + 2 + 2 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1669335212.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669335212, enumerated as an "organization" on December 09, 2025.

The provider is located at 155 SW PORT ST LUCIE BLVD STE 105 PORT ST LUCIE, FL 34984 and the phone number is (772) 398-0990.

Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.