Organization Active NPI

All Smiles Childrens Dentistry PA

  • Pediatric Dentistry
  • Eustis, FL
National Provider Identifier
1073079778
Registry record updated Feb 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
ALL SMILES CHILDRENS DENTISTRY PA
Practice address
1340 E Orange Ave
Eustis, FL 32726-4343
Phone
(425) 503-1607
NPI assigned
Feb 18, 2019
Last updated
Feb 18, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Teddy Bland, DDSNPI 1003008723
Title
Ceo
Phone
(425) 503-1607

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X Primary

Addresses

Primary practice location

1340 E Orange Ave
Eustis, FL 32726-4343

Mailing address

1340 E Orange Ave
Eustis, FL 32726-4343
Phone (425) 503-1607

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1550448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550448000000",
    "number": "1073079778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 E ORANGE AVE",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327264343",
            "telephone_number": "425-503-1607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 E ORANGE AVE",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327264343",
            "telephone_number": "425-503-1607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL SMILES CHILDRENS DENTISTRY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-18",
        "last_updated": "2019-02-18",
        "status": "A",
        "authorized_official_last_name": "BLAND",
        "authorized_official_first_name": "TEDDY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "425-503-1607",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eustis, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.