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

Kids Dental Place

Organization Pediatric Dentistry · NPI 1093401101

Kids Dental Place provides Pediatric Dentistry in Crestview, Florida. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

101 4th Ave Ste B
Crestview, FL 32539-2401
Phone: (850) 384-9171
Show map & directions

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

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1093401101
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationKids Dental Place
Authorized official Rachel Witcher — Owner/Doctor · (850) 477-1722
Other names Crestview Wild Smiles
NPI enumeratedApril 12, 2023
Last updated in NPPESApril 12, 2023
Certification dateApril 12, 2023
Mailing address3201 E Olive Rd Ste B, Pensacola, FL 32514-7237

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