Smiling Creations, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN0010981 Issued in FL

Legal business name

SMILING CREATIONS, PA

Practice address

708 Spring St
Green Cove Springs, FL 32043-3318

Phone

(904) 284-6688

NPI assigned

Feb 15, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Larry James Small, DMD

Title

Owner/Dentist

Phone

(904) 284-6688

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1329264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329264000000",
    "number": "1760755169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 SPRING ST",
            "city": "GREEN COVE SPRINGS",
            "state": "FL",
            "postal_code": "320433318",
            "telephone_number": "904-284-6688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 SPRING ST",
            "city": "GREEN COVE SPRINGS",
            "state": "FL",
            "postal_code": "320433318",
            "telephone_number": "904-284-6688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILING CREATIONS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-15",
        "last_updated": "2012-02-15",
        "status": "A",
        "authorized_official_last_name": "SMALL",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "904-284-6688",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN0010981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "072874800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• School Board of Clay County
• School Board of Clay County
• Randall Scott, D.O.
• Jana Renee Shaddix Diaz, PT
• Shahriar a Nabizadeh MD PA
• Kayla Smith, FNP-BC
• Lawrence Matthew Smith, PHARMD
• Qiana Smith
• Hannah Souksavong, PT, DPT
• Thomas E Stakem, D.D.S.,M.D.

• General Practice Dentistry in Green Cove Springs, FL
• Providers in Green Cove Springs, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; 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.