Organization Active NPI

Jarell Wilson DDS PLLC

  • Pediatric Dentistry
  • Sanford, FL
National Provider Identifier
1740137546
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
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

Updated by the provider on Mar 12, 2026

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

Authorized official

Name
Jarell Lamonz Wilson, DDSNPI 1336694116
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)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as
  • Peaceful Smiles Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.