Organization Active NPI

Healthy Smiles Family Dentistry PLLC

  • General Practice Dentistry
  • Harrisburg, PA
National Provider Identifier
1104722917
Registry record updated Oct 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
HEALTHY SMILES FAMILY DENTISTRY PLLC
Practice address
3106 Walnut St
Harrisburg, PA 17109-3557
Phone
(717) 545-3631
NPI assigned
Oct 19, 2026
Last updated
Oct 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2026

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

Authorized official

Name
Shamaine Pecson, DDS
Title
Member
Phone
(808) 354-6831

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

3106 Walnut St
Harrisburg, PA 17109-3557

Mailing address

211 Pauline Dr # 108
York, PA 17402-4637

National Provider Directory

National Provider Directory

Locations

3106 Walnut St
Harrisburg, PA 17109
Phone (717) 545-3631

Practitioners & affiliated clinicians

Practitioners 2

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": "1792368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792368000000",
    "number": "1104722917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 PAULINE DR # 108",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174024637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3106 WALNUT ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171093557",
            "telephone_number": "717-545-3631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY SMILES FAMILY DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-19",
        "last_updated": "2026-10-19",
        "certification_date": "2026-10-18",
        "status": "A",
        "authorized_official_last_name": "PECSON",
        "authorized_official_first_name": "SHAMAINE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "808-354-6831",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2026; 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.