Active NPIOrganization

Jk Smiles PLLC

Dentist, Pediatric Dentistry in Peabody, Massachusetts

NPI Number1104781749
Practice location
79 Lynnfield St, Peabody, MA 01960-5201
Fax
—
Last updated
December 17, 2025

Jk Smiles PLLC is a healthcare organization based in Peabody, MA. Jk Smiles PLLC practices in Peabody, MA. The NPI Number for Jk Smiles PLLC is 1104781749. The current practice location address for Jk Smiles PLLC is 79 Lynnfield St, Peabody, MA 01960-5201 and can be reached out via phone at 815-995-2852.

Provider Profile Details

NPI Number
1104781749
Provider Name
Jk Smiles PLLC
Provider Entity Type
Organization
Address
79 Lynnfield St, Peabody, MA 01960-5201
Phone Number
815-995-2852
Primary Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X
Organization Subpart
No
Authorized Official
Dr. Vaibhav Jagad, DMD · Dentist · 815-995-2852
Provider Enumeration Date
December 17, 2025
Last Update Date
December 17, 2025
Certification Date
December 17, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
79 Lynnfield St
Peabody, MA 01960-5201
Zip
01960-5201
Phone Number
815-995-2852
Peabody, MA 01960Get directions →

Provider Business Mailing Address Details

Address
320 Middlesex Ave Unit C208
Medford, MA 02155-5084
City
Medford
State
MA
Zip
02155-5084

License Information

Taxonomy (1)
Dentist · 122300000X
Taxonomy (3)
Dentist, Pediatric Dentistry · 1223P0221X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jk Smiles PLLC?

The NPI number of Jk Smiles PLLC is 1104781749. It was assigned on December 17, 2025 and is currently active in the NPPES registry.

What is the specialty of Jk Smiles PLLC?

Jk Smiles PLLC is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X).

Where does Jk Smiles PLLC practice?

The practice location is 79 Lynnfield St, Peabody, MA 01960-5201. The office can be reached at 815-995-2852 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104781749 directly on the NPPES registry website.

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