Smile City Pediatric Dentistry PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

SMILE CITY PEDIATRIC DENTISTRY PLLC

Practice address

1027 Pathfinder Way Ste 100
Rockledge, FL 32955-3267

Phone

(321) 368-0903

NPI assigned

Mar 21, 2025

Organization subpart

No

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

Authorized official

Name

Anthony TawadrousNPI 1376285742

Title

Owner/Provider

Phone

(321) 368-0903

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.

• Anthony Tawadrous

  • Pediatric Dentistry
  • Daytona Beach, FL
  • NPI 1376285742
  NPD Authorized official

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

{
    "created_epoch": "1742515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742515200000",
    "number": "1508667981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 PATHFINDER WAY STE 100",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329553267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 PATHFINDER WAY STE 100",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329553267",
            "telephone_number": "321-368-0903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE CITY PEDIATRIC DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-21",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A",
        "authorized_official_last_name": "TAWADROUS",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "321-368-0903"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Slaughter
• Jennifer K. Slayton, LMHC
• Sleep Viera Treatment LLC
• Elizabeth Sligh
• Celeste J Small
• Smile Design Center
• Smile Viera
• Aaron Mitchell Smith, D.O.
• Alan P Smith, LCSW
• Douglas R Smith, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; 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.