Organization Active NPI

Smile Adventures Pediatric Dentistry and Orthodontics LLC

  • Pediatric Dentistry
  • Clermont, FL
National Provider Identifier
1184533820
Registry record updated Sep 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
SMILE ADVENTURES PEDIATRIC DENTISTRY AND ORTHODONTICS LLC
Practice address
1020 W Hwy 50
Clermont, FL 34711-2864
Phone
(813) 579-8492
NPI assigned
Sep 7, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2026

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

Authorized official

Name
Nellie Lin
Title
Director of Operations
Phone
(813) 579-8492

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

1020 W Hwy 50
Clermont, FL 34711-2864

Mailing address

1020 W Hwy 50
Clermont, FL 34711-2864

NPI Registry JSON

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

{
    "created_epoch": "1788739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788739200000",
    "number": "1184533820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 W HWY 50",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 W HWY 50",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112864",
            "telephone_number": "813-579-8492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE ADVENTURES PEDIATRIC DENTISTRY AND ORTHODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-07",
        "last_updated": "2026-09-07",
        "certification_date": "2026-09-06",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "NELLIE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "813-579-8492"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.