Organization Active NPI

Sandy Smiles, PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Fort Walton Beach, FL
National Provider Identifier
1659094548
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
SANDY SMILES, PLLC
Practice address
824 Eglin Pkwy NE
Fort Walton Beach, FL 32547-2530
Phone
(850) 244-3880
NPI assigned
Sep 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Authorized official

Name
Dr. Morgan Marion Zwickel, DMDNPI 1710605647
Title
Owner
Phone
(724) 816-4548

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
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

824 Eglin Pkwy NE
Fort Walton Beach, FL 32547-2530

Mailing address

150 Latonka Dr
Mercer, PA 16137-9360
Phone (724) 816-4548

National Provider Directory

National Provider Directory

Locations

824 Eglin Pkwy NE
Fort Walton Beach, FL 32547
Phone (850) 244-3880

Practitioners & affiliated clinicians

Practitioners 2

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": "1664150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664150400000",
    "number": "1659094548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 LATONKA DR",
            "city": "MERCER",
            "state": "PA",
            "postal_code": "161379360",
            "telephone_number": "724-816-4548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 EGLIN PKWY NE",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325472530",
            "telephone_number": "850-244-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDY SMILES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-25",
        "status": "A",
        "authorized_official_last_name": "ZWICKEL",
        "authorized_official_first_name": "MORGAN",
        "authorized_official_middle_name": "MARION",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-816-4548",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Walton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.