GUIDED SMILES PROSTHODONTICS & IMPLANT CENTER PLLC – NPI #1114641339
Clinic/Center

GUIDED SMILES PROSTHODONTICS & IMPLANT CENTER PLLC is an AHC clinic located in PONTE VEDRA BEACH, FL. NPPES has assigned the NPI number 1114641339 to GUIDED SMILES PROSTHODONTICS & IMPLANT CENTER PLLC on September 30, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GUIDED SMILES PROSTHODONTICS & IMPLANT CENTER PLLC below.

NPI Profile for
GUIDED SMILES PROSTHODONTICS & IMPLANT CENTER PLLC

NPI Number
1114641339
Enumeration Date

(more than 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GUIDED SMILES PROSTHODONTICS & IMPLANT CENTER PLLC
Primary location
153 FORT WADE ROAD
STE 100
PONTE VEDRA BEACH, FL 32081
Phone: (904) 395-5501 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ALONZO BLACKMON
AUTHORIZED OFFICIAL
Phone: (904) 395-5501
Updated
Certification Date
Sep 28, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.