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

Nadia Ivettliz Smith

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1356283436

Nadia Ivettliz Smith is a Student in an Organized Health Care Education/Training Program in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida and Pennsylvania.

Licensed in
FL, PA
In the registry since
2026
Specialties on file
3

Practice location Address checks out

790 Skymarks Dr
Jacksonville, FL 32218-7266
Phone: (904) 503-2274
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DS045758 (PA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
General Practice Dentistry Taxonomy 1223G0001X · Licence DN31767 (FL)

Record details

NPI number1356283436
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 7, 2026
Last updated in NPPESJuly 12, 2026
Certification dateJuly 12, 2026
Mailing address2247 Cheryl Dr, Jacksonville, FL 32217-3522

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