Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Forest Park Smiles on 11th, PLLC

Organization General Practice Dentistry · NPI 1013438092

Forest Park Smiles on 11th, PLLC is a General Practice Dentistry in Panama City, Florida. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1010 W 11th St
Panama City, FL 32401-2042
Phone: (850) 763-3622
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1013438092
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Stewart — Administrator · (334) 676-2320
NPI enumeratedJune 29, 2017
Last updated in NPPESJune 29, 2017
Mailing address3150 Zelda Ct, Montgomery, AL 36106-2607

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