OrganizationActive
Great Smile Dental Pediatrics
NPI 1669335212 · Pediatric Dentistry · Port St Lucie, FL
Provider details
- NPI number
- 1669335212
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Aaron Schamback, Owner(772) 398-0990
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
155 Sw Port St Lucie Blvd Ste 105
Port St Lucie, FL 34984-5039
Phone: (772) 398-0990
Fax: (772) 800-3634
Street-level locationGet directions
Mailing address
155 Sw Port St Lucie Blvd Ste 105
Port St Lucie, FL 34984-5039
Registry dates
- Enumerated
- 2025-12-09
- Last updated
- 2025-12-09
- Certified
- 2025-12-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.