| Smile So Big First City Llc | |
|
10 Dolphin Dr Saint Augustine FL 32080-4531 | |
| (904) 824-8652 | |
| (904) 824-9169 |
| Full Name | Smile So Big First City Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 10 Dolphin Dr, Saint Augustine, Florida |
| Authorized Official Name and Position | Jonathan Montoya (OWNER/DENTIST) |
| Authorized Official Contact | 9048248652 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile So Big First City Llc 10 Dolphin Dr Saint Augustine FL 32080-4531 Ph: (904) 824-8652 | Smile So Big First City Llc 10 Dolphin Dr Saint Augustine FL 32080-4531 Ph: (904) 824-8652 |
| NPI Number | 1881560274 |
|---|---|
| Provider Enumeration Date | 10/14/2025 |
| Last Update Date | 10/14/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881560274 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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