Active NPI
Sandy Smiles, PLLC
- Orthodontics and Dentofacial Orthopedics Dentistry
- Fort Walton Beach, FL
National Provider Identifier
1659094548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Morgan Marion Zwickel, DMD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 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 DirectoryLocations
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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Fort Walton Beach, FL
- NPI 1710605647
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Fort Walton Beach, FL
- NPI 1730217019
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.