Active NPI
All Smiles Childrens Dentistry PA
- Pediatric Dentistry
- Eustis, FL
National Provider Identifier
1073079778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- 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, 2019
- 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
- Teddy Bland, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Dentist
- Eustis, FL
- NPI 1003008723
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.