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

Active since December 09, 2025
155 SW PORT ST LUCIE BLVD STE 105, PORT ST LUCIE, FL 34984(772) 398-0990(772) 800-3634 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Great Smile Dental Pediatrics NPPES

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

GREAT SMILE DENTAL PEDIATRICS (NPI 1669335212) is a healthcare organization registered as a pediatric dentistry in Port St Lucie, Florida and active in the NPI registry since December 2025. The organization lists Aaron M Schamback, Owner, as its authorized official.

NPPES Registry Identity

NPI1669335212
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameGREAT SMILE DENTAL PEDIATRICS
Location Address155 SW PORT ST LUCIE BLVD STE 105Port St Lucie, FL 34984-5039
Mailing Address155 Sw Port St Lucie Blvd Ste 105Port St Lucie, FL 34984-5039 · (772) 398-0990 · Fax (772) 800-3634
Phone(772) 398-0990
Fax(772) 800-3634
Organization SubpartNo
Authorized OfficialAaron M SchambackOwner · (772) 398-0990
Enumeration DateDecember 9, 2025
NPPES CertifiedDecember 9, 2025
✔ NPI 1669335212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
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.
155 SW PORT ST LUCIE BLVD STE 105, Port St Lucie, FL 34984
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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

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 Great Smile Dental Pediatrics's NPI number?

The NPI number for Great Smile Dental Pediatrics is 1669335212. It was assigned to this organization in the NPPES registry on December 9, 2025.

Where is Great Smile Dental Pediatrics located?

Great Smile Dental Pediatrics is located at 155 SW Port St Lucie Blvd Ste 105, Port St Lucie, FL 34984. The listed phone number is (772) 398-0990.

What is Great Smile Dental Pediatrics's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Great Smile Dental Pediatrics was last updated on December 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.