Seaside Smiles Pediatric Dentistry, PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN20858 Issued in FL

Legal business name

SEASIDE SMILES PEDIATRIC DENTISTRY, PLLC

Practice address

3725 12TH CT Ste B
Vero Beach, FL 32960-6519

Phone

(772) 562-6880

Fax

(772) 562-6895

NPI assigned

Aug 2, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Chelesea Elizabeth Garcia, DMD

Title

Pediatric Dentist

Phone

(772) 562-6880

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1346764297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3725 12TH CT STE B",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606519",
            "telephone_number": "772-562-6880",
            "fax_number": "772-562-6895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3725 12TH CT STE B",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606519",
            "telephone_number": "772-562-6880",
            "fax_number": "772-562-6895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASIDE SMILES PEDIATRIC DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-02",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "CHELESEA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "772-562-6880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN20858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Marie Scuoppo, RBT
• Susan Seadon, R.PH.
• Dalwyn M Sealy, M.D.
• Seaside Dental Care PLLC
• Seaside Psychological Services, LLC
• Sebastian Hma Physician Management LLC (Heart Center of the Treasure Coast)
• Sebastian Radiology Associates Inc
• Anastasia Seeram, PA-C
• Robin Seeram, CSA/CST
• Molly K Segal

• Pediatric Dentistry in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Pediatric Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.