Great Smile Dental Pediatrics

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

GREAT SMILE DENTAL PEDIATRICS

Practice address

155 SW Port St Lucie Blvd Ste 105
Port St Lucie, FL 34984-5039

Phone

(772) 398-0990

Fax

(772) 800-3634

NPI assigned

Dec 9, 2025

Last updated

Dec 9, 2025By 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

Dr. Aaron M Schamback, DMDNPI 1528125358

Title

Owner

Phone

(772) 398-0990

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, and the practitioner matching its NPPES authorized official.

• Aaron Micheal Schamback, DMD

  • General Practice Dentistry
  • Port St Lucie, FL
  • NPI 1528125358
  Authorized official Same address or phone

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

{
    "created_epoch": "1765238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765238400000",
    "number": "1669335212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 SW PORT ST LUCIE BLVD STE 105",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349845039",
            "telephone_number": "772-398-0990",
            "fax_number": "772-800-3634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 SW PORT ST LUCIE BLVD STE 105",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349845039",
            "telephone_number": "772-398-0990",
            "fax_number": "772-800-3634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT SMILE DENTAL PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-09",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A",
        "authorized_official_last_name": "SCHAMBACK",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-398-0990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Graham II, MD, MS
• Diana Grajales
• Eugenie Grant, CNA/PERS. ASST.
• Nickole M Grant, LCSW
• John Grassam, D.C.
• Greater Florida Anesthesiologists, LLC
• Green Health and Wellness, LLC
• Taniesha Green
• Sydney Rose Greenberg
• Colleen Greene, LCMHC, CAP

• Pediatric Dentistry in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Pediatric Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.