Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Genesis Dental Group Smiles on 11th LLC

Organization General Practice Dentistry · NPI 1629598750

Genesis Dental Group Smiles on 11th LLC provides General Practice Dentistry in Panama City, Florida. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
LLC — 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 number1629598750
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Stewart — Manager · (334) 676-2320
NPI enumeratedJune 20, 2017
Last updated in NPPESJune 20, 2017
Mailing address3150 Zelda Ct, Montgomery, AL 36106-2607

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