Pensacola Smiles, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PENSACOLA SMILES, PLLC

Practice address

3298 Summit Blvd Ste 49
Pensacola, FL 32503-4350

Phone

(850) 433-3008

NPI assigned

Jun 2, 2026

Organization subpart

Yes

Parent organization

PENSACOLA SMILES, PLLCAs reported in NPPES

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

Authorized official

Name

Peter Kelly

Title

Owner

Phone

(407) 432-6224

Specialties & licenses 1

Addresses

Part of

Pensacola Smiles PLLC

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tyra Loriz, DMD, PA

  • General Practice Dentistry
  • Pensacola, FL
  • NPI 1154548311
  NPD (past)
• John M. McGilvray, DMD

  • Dentist
  • Pensacola, FL
  • NPI 1447680533
  NPD (past)

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

{
    "created_epoch": "1780358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780358400000",
    "number": "1124950183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3298 SUMMIT BLVD STE 49",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325034350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3298 SUMMIT BLVD STE 49",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325034350",
            "telephone_number": "850-433-3008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6029 N 9th Ave",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325048200",
            "country_code": "US",
            "telephone_number": "850-476-5034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PENSACOLA SMILES, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PENSACOLA SMILES, PLLC",
        "enumeration_date": "2026-06-02",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-432-6224"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pensacola Therapy Services, LLC
• Pensacola Urology, PA

• General Practice Dentistry in Pensacola, FL
• Providers in Pensacola, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.