OrganizationActive
Eccella Smiles PA
NPI 1568852010 · General Practice Dentistry · Jacksonville Beach, FL
Eccella Smiles PA is a General Practice Dentistry organization in Jacksonville Beach, FL (NPI 1568852010).
Provider details
- NPI number
- 1568852010
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- William Wagner, Owner(904) 834-3737
- License
- DN14961 (FL)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
1400 Marsh Landing Pkwy
Suite 104
Jacksonville Beach, FL 32250-2493
Phone: (904) 834-3737
Street-level locationGet directions
Mailing address
1400 Marsh Landing Pkwy
Jacksonville Beach, FL 32250-2493
Registry dates
- Enumerated
- 2015-02-04
- Last updated
- 2015-02-04
Frequently asked questions
- What is Eccella Smiles PA's NPI number?
- Eccella Smiles PA's National Provider Identifier (NPI) is 1568852010, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Eccella Smiles PA?
- Eccella Smiles PA is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Eccella Smiles PA located?
- Eccella Smiles PA's practice location on file with NPPES is 1400 Marsh Landing Pkwy, Jacksonville Beach, FL 32250-2493.
- What is Eccella Smiles PA's phone number?
- The practice phone number listed in the NPPES registry for Eccella Smiles PA is (904) 834-3737.
- Who is the authorized official for Eccella Smiles PA?
- The authorized official listed on Eccella Smiles PA's NPPES record is William Wagner, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Eccella Smiles PA's NPI active?
- Yes — Eccella Smiles PA's NPI (1568852010) is active in the NPPES registry as of the last update on 2015-02-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.