Organization Active NPI

The Smile Society, PLLC

  • Dentist
  • Jacksonville, FL
National Provider Identifier
1528853751
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
THE SMILE SOCIETY, PLLC
Practice address
7540 Gate Pkwy # 110
Jacksonville, FL 32256-2887
Phone
(904) 323-3140
NPI assigned
Apr 9, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Authorized official

Name
Dr. Kenjula Brown, DDSNPI 1619325891
Title
Dentist
Phone
(904) 323-3240

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

7540 Gate Pkwy # 110
Jacksonville, FL 32256-2887

Mailing address

7540 Gate Pkwy Ste 110
Jacksonville, FL 32256-3104
Phone (904) 323-3140

Other identifiers 1

IdentifierTypeStateIssuer
105906300MedicaidFL

Other names 1

  • The Smile Society Dental Studio Doing business as

National Provider Directory

National Provider Directory

Locations

7540 Gate Pkwy
Ste 110
Jacksonville, FL 32256
Phone (904) 323-3140

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1744156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761523200000",
    "number": "1528853751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7540 GATE PKWY STE 110",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322563104",
            "telephone_number": "904-323-3140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7540 GATE PKWY # 110",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322562887",
            "telephone_number": "904-323-3140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SMILE SOCIETY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-09",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "KENJULA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "904-323-3240",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105906300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Smile Society Dental Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.