Active NPI
Jarell Wilson DDS PLLC
- Pediatric Dentistry
- Sanford, FL
National Provider Identifier
1740137546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- Legal business name
- JARELL WILSON DDS PLLC
- Practice address
- 360 S Mellonville Ave
Sanford, FL 32771-1453 - Phone
- (843) 593-5905
- NPI assigned
- Mar 12, 2026
- 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
- Jarell Lamonz Wilson, DDS
- Title
- Owner
- Phone
- (843) 593-5905
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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | Primary |
Addresses
Primary practice location
360 S Mellonville Ave
Sanford, FL 32771-1453
Mailing address
360 S Mellonville Ave
Sanford, FL 32771-1453
Other names 2
- Peaceful Smiles
- Peaceful Smiles Pediatric Dentistry
National Provider Directory
National Provider DirectoryLocations
360 S Mellonville Ave
Sanford, FL 32771
Phone (843) 593-5905
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Dentistry
- Peridot, AZ
- NPI 1336694116
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773273600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773273600000",
"number": "1740137546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 S MELLONVILLE AVE",
"city": "SANFORD",
"state": "FL",
"postal_code": "327711453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 S MELLONVILLE AVE",
"city": "SANFORD",
"state": "FL",
"postal_code": "327711453",
"telephone_number": "843-593-5905"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JARELL WILSON DDS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-12",
"last_updated": "2026-03-12",
"certification_date": "2026-03-12",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "JARELL",
"authorized_official_middle_name": "LAMONZ",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "843-593-5905",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Peaceful Smiles",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Peaceful Smiles Pediatric Dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sanford, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.