Smile Design at Agape Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN14223 Issued in FL

Legal business name

SMILE DESIGN AT AGAPE FAMILY DENTISTRY

Practice address

7505 Arlington Expy
Jacksonville, FL 32211-5951

Phone

(904) 725-4444

Fax

(904) 724-7307

NPI assigned

Jun 4, 2010

Last updated

Oct 23, 2012By 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

Charlotte Gerry, D.M.DNPI 1770789455

Title

Owner

Phone

(904) 725-4444

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charlotte Yvonne Gerry, DMD

  • Dentist
  • North Hollywood, CA
  • NPI 1770789455
  NPD (past) Authorized official
• Zoryana Yufan, DMD

  • Dentist
  • Jacksonville, FL
  • NPI 1629508072
  NPD (past)

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

{
    "created_epoch": "1275609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350950400000",
    "number": "1649590373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8750 PERIMETER PARK BLVD",
            "address_2": "SUITE 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32216",
            "telephone_number": "904-725-4444",
            "fax_number": "386-364-5199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7505 ARLINGTON EXPY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322115951",
            "telephone_number": "904-725-4444",
            "fax_number": "904-724-7307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE DESIGN AT AGAPE FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-04",
        "last_updated": "2012-10-23",
        "status": "A",
        "authorized_official_last_name": "GERRY",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-725-4444",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN14223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Smelick
• Michael Smerina, MD
• Brande Smetana
• Smil3Chat Teledentistry
• Smile Aesthetics Dental PA
• Smilecare Dental Associates PA
• Smiley Berry LLC (Xavier Home Health)
• Smiley Pediatrics, LLC
• Letitia Lynnette Smiley, B.A.
• Smiling Kidds Dentistry, P.a. (River City Pediatric Dentistry)

• General Practice Dentistry in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; 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.