| Radiant Smiles Pediatric Dentistry, Pllc | |
|
6519 Stadium Dr Zephyrhills FL 33542-7567 | |
| (813) 328-3122 | |
| (813) 328-3072 |
| Full Name | Radiant Smiles Pediatric Dentistry, Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 6519 Stadium Dr, Zephyrhills, Florida |
| Authorized Official Name and Position | Jonathan Cleophas Johnson (OWNER) |
| Authorized Official Contact | 8133283122 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Radiant Smiles Pediatric Dentistry, Pllc 6519 Stadium Dr Zephyrhills FL 33542-7567 Ph: (813) 328-3122 | Radiant Smiles Pediatric Dentistry, Pllc 6519 Stadium Dr Zephyrhills FL 33542-7567 Ph: (813) 328-3122 |
| NPI Number | 1437013851 |
|---|---|
| Provider Enumeration Date | 12/10/2025 |
| Last Update Date | 12/10/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437013851 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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