Grins and Giggles Pediatric Dentistry, LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN17156 Issued in FL

Legal business name

GRINS AND GIGGLES PEDIATRIC DENTISTRY, LLC

Practice address

231 NW 137TH Dr
Jonesville, FL 32669-2662

Phone

(352) 316-7400

NPI assigned

May 7, 2014

Organization subpart

No

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

Authorized official

Name

Alissa DragstedtNPI 1386779353

Title

Pediatric Dentist

Phone

(352) 316-7400

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Alissa Nicole Dragstedt, DMD

  • Pediatric Dentistry
  • Jonesville, FL
  • NPI 1386779353
  NPD (past) Authorized official

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

{
    "created_epoch": "1399420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399420800000",
    "number": "1497165757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 NW 137TH DR",
            "city": "JONESVILLE",
            "state": "FL",
            "postal_code": "326692662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 NW 137TH DR",
            "city": "JONESVILLE",
            "state": "FL",
            "postal_code": "326692662",
            "telephone_number": "352-316-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRINS AND GIGGLES PEDIATRIC DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-07",
        "last_updated": "2014-05-07",
        "status": "A",
        "authorized_official_last_name": "DRAGSTEDT",
        "authorized_official_first_name": "ALISSA",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "352-316-7400"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN17156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elise Caton, MOT, OTR/L
• Baylee Dotson, RN
• Alissa Nicole Dragstedt, DMD
• Emily Grace Farris, DDS
• Christian Galvez, RPH
• Dana Smith Haase, M. ED.
• Cynthia Dickson Haug- Brush, DMD
• Charlotte Rebecca Gleeson Hill, D.M.D
• Holiday CVS LLC
• Jonesville Family Dentistry PA

• Pediatric Dentistry in Jonesville, FL
• Providers in Jonesville, FL by specialty
• Pediatric Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2014; 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.