Smil3Chat Teledentistry

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

SMIL3CHAT TELEDENTISTRY

Practice address

9735 Redbird Creek Dr S
Jacksonville, FL 32221-3294

Phone

(229) 395-1437

NPI assigned

Aug 31, 2022

Organization subpart

No

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

Authorized official

Name

Keisha Harris

Title

Founder

Phone

(229) 395-1437

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1661904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661904000000",
    "number": "1821718719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9735 REDBIRD CREEK DR S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322213294",
            "telephone_number": "229-395-1437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9735 REDBIRD CREEK DR S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322213294",
            "telephone_number": "229-395-1437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMIL3CHAT TELEDENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-31",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "KEISHA",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "229-395-1437"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVING LICENSE",
            "identifier": "H62051485548",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "website",
            "affiliation": "N",
            "endpointDescription": "smil3chat.teledentistry.com",
            "address_1": "9735 Redbird Creek Dr S",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322213294",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lauren Smedley, DC
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• Michael Smerina, MD
• Brande Smetana
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• Smile Design at Agape Family Dentistry
• Smilecare Dental Associates PA
• Smiley Berry LLC (Xavier Home Health)
• Smiley Pediatrics, LLC

• Health Service Clinic/Center in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.

Verify at the official NPI Registry.