OrganizationActive
Jacksonville Smiles
NPI 1457736100 · Dentist · Jacksonville, TX
Jacksonville Smiles is a Dentist organization in Jacksonville, TX (NPI 1457736100).
Provider details
- NPI number
- 1457736100
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Wyatt Checketts, Owner/Dentist(903) 586-1551
- License
- 30949 (TX)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
606 Brookside Dr
Jacksonville, TX 75766-2519
Phone: (903) 586-1551
Fax: (903) 586-1552
Street-level locationGet directions
Mailing address
606 Brookside Dr
Jacksonville, TX 75766-2519
Registry dates
- Enumerated
- 2015-07-23
- Last updated
- 2015-07-23
Frequently asked questions
- What is Jacksonville Smiles's NPI number?
- Jacksonville Smiles's National Provider Identifier (NPI) is 1457736100, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jacksonville Smiles?
- Jacksonville Smiles is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Jacksonville Smiles located?
- Jacksonville Smiles's practice location on file with NPPES is 606 Brookside Dr, Jacksonville, TX 75766-2519.
- What is Jacksonville Smiles's phone number?
- The practice phone number listed in the NPPES registry for Jacksonville Smiles is (903) 586-1551.
- Who is the authorized official for Jacksonville Smiles?
- The authorized official listed on Jacksonville Smiles's NPPES record is Wyatt Checketts, Owner/Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jacksonville Smiles's NPI active?
- Yes — Jacksonville Smiles's NPI (1457736100) is active in the NPPES registry as of the last update on 2015-07-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.