Organization Active NPI

Tiny Smiles Pediatric Dentist PLLC

  • Pediatric Dentistry
  • Tallahassee, FL
National Provider Identifier
1952292740
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
TINY SMILES PEDIATRIC DENTIST PLLC
Practice address
237 John Knox Rd
Tallahassee, FL 32303-6676
Phone
(850) 728-2167
NPI assigned
Jul 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Authorized official

Name
Dr. Ana Sofia Fernandez, DMD
Title
Pediatric Dentist
Phone
(850) 728-2167

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

237 John Knox Rd
Tallahassee, FL 32303-6676

Mailing address

237 John Knox Rd
Tallahassee, FL 32303-6676
Phone (850) 728-2167

National Provider Directory

National Provider Directory

Locations

237 John Knox Rd
Tallahassee, FL 32303
Phone (850) 385-5565

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": "1752105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752105600000",
    "number": "1952292740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 JOHN KNOX RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323036676",
            "telephone_number": "850-728-2167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 JOHN KNOX RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323036676",
            "telephone_number": "850-728-2167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TINY SMILES PEDIATRIC DENTIST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-10",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "ANA SOFIA",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "850-728-2167",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.