Gulf Grins LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

GULF GRINS LLC

Practice address

24700 US Highway 331 S Ste 100
Santa Rosa Beach, FL 32459-5502

Phone

(850) 931-8750

NPI assigned

Sep 11, 2026

Organization subpart

No

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

Authorized official

Name

Lauren Dixon Simon Sejan, DMD, MS

Title

Owner/Dentist

Phone

(850) 931-8750

Specialties & licenses 1

Addresses

Other names 1

• Gulf Grins Pediatric Dentistry Doing business as

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

{
    "created_epoch": "1789084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789084800000",
    "number": "1083524938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24700 US HIGHWAY 331 S STE 100",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324595502",
            "telephone_number": "850-931-8750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24700 US HIGHWAY 331 S STE 100",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324595502",
            "telephone_number": "850-931-8750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF GRINS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-11",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-10",
        "status": "A",
        "authorized_official_last_name": "SIMON SEJAN",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "DIXON",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "850-931-8750",
        "authorized_official_credential": "DMD, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gulf Grins Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Luis Fernando Gomez, M.D.
• Sean Goynes
• Gene Greenlees, MD
• Wendy Sheffield Greenlees, ARNP
• Anuar De Jesus Guevara Cruz
• Michael Ray Gutierrez, MSN, FNP-C
• Ashley Marie Hackney
• Jessica Hall, OTRL
• Allison D Hammett, DPT
• Kimberly Hannon, PT

• All providers in Santa Rosa Beach, FL
• Pediatric Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.