Active NPI
Perfect Smile Doc PA
- General Practice Dentistry
- Saint Johns, FL
National Provider Identifier
1053217323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- PERFECT SMILE DOC PA
- Practice address
- 150 Warren Cir Apt 1
St Johns, FL 32259-3846 - Phone
- (646) 453-6030
- NPI assigned
- Oct 14, 2026
- Last updated
- Oct 14, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Emil Bailey
- Title
- Owner
- Phone
- (347) 801-8888
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary | ||
| Pediatric Dentistry | 1223P0221X | |||
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X |
Addresses
Primary practice location
150 Warren Cir Apt 1
St Johns, FL 32259-3846
Mailing address
150 Warren Cir Apt 1
St Johns, FL 32259-3846
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791936000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791936000000",
"number": "1053217323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 WARREN CIR APT 1",
"city": "ST JOHNS",
"state": "FL",
"postal_code": "322593846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 WARREN CIR APT 1",
"city": "ST JOHNS",
"state": "FL",
"postal_code": "322593846",
"telephone_number": "646-453-6030"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERFECT SMILE DOC PA",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-14",
"last_updated": "2026-10-14",
"certification_date": "2026-10-14",
"status": "A",
"authorized_official_last_name": "BAILEY",
"authorized_official_first_name": "EMIL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "347-801-8888",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Johns, FL
- Pediatric Dental Anesthesia Associates, LLC
- Peggy Bailey LMHC Inc (Developing Growth in Families Center)
- Pemaculture LLC
- Katherine Penza, M.S.
- Kristen A Perez, LMHC
- Phonetically Speaking, Inc (The Therapy Closet FL)
- Allison Piccirillo
- Jeffrey Piercy, M.S., LMHC
- Pinnacle Physical Therapy & Sports Performance LLC (Pinnacle Physical Therapy & Sports Performance)
- Sarah Pistner, BCBA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.