Puddle Dock Pediatrics is a welcoming, innovative, and patient-centered pediatric practice located in Portsmouth, NH.
Alyssa Reyes Smith, MD, FAAP
Both Dr. Smith and Dr. Hoerman are out-of-town, but Dr. Smith is on-call for emergency advice, and we are happy to see you on Friday morning for sick visits before we close up shop for the weekend!
Puddle Dock Pediatrics strives to provide the highest quality, evidence-based medical care for infants, children and teens in a warm and caring environment! We welcome new families of all kinds with children up to 18 years of age.
Choosing a pediatrician for your child is an important decision! We value effective communication and strive to establish long term relationships built on mutual respect and trust.
In order to be as accessible as possible to the families in our community, we take most insurances, including Medicaid.
Be confident that you are treating your child’s pain or fever with the correct dose of medication. We can guide you on how much to give, based on your child’s weight.
We are pleased to offer you a library of expert advice from the American Academy of Pediatrics. Browse this collection of over 800 handouts by topic or symptom.
September 9, 2025
Appointments are available on weekdays, with additional late afternoon appointments on select Tuesdays, and a weekend clinic on Saturday 9/27. Call or message us to secure your child’s slot.
Please note that we are awaiting state guidance on how to deliver COVID vaccines to children this respiratory season. Updates will be shared here as soon as we know more. Thank you for your patience.
FLU SHOTS ARE HERE! Call to book your child’s weekday or weekend appointment 💉 Please note that we are awaiting state guidance on how to deliver COVID vaccines to children this respiratory season. Updates will be shared here and on our website as soon as we know more. Thank you for your patience 💛
A few months late, but we are so proud of how much we’ve grown in a year, and can’t wait to see what’s next! 🌈
COMMUNICATION IS KEY! We pride ourselves on our accessibility to our patients. Please review all of the ways you can get in touch with the Puddle Dock team.
Current Puddle Dock families should note that our on-call protocol is CHANGING as of July 1, 2025: Dr. Smith or Dr. Hoerman will be reachable via PHONE ONLY after hours for emergencies ☎️ (i.e. the “Urgent” option via text/Spruce is going away 👋🏽)
Puddle Dock is CLOSED for the Memorial Day holiday. As always, one of our docs is on call for emergencies!
Anna and Dr. Smith will be back in the office tomorrow 🇺🇸
It’s National Nurses Week! 💙
Nurse Brooke has been with Puddle Dock since the very beginning, and she wears many hats here, including vaccine program coordinator and triage extraordinaire. Whether you’ve known her for quite some time or are just getting to know her, we can all agree that she is the best around. She does it all with grace, compassion, and kindness - everything you hope for in someone caring for your child.
So here’s to you, Brooke - we love and appreciate you 👩🏼⚕️🌈💛
We have a lot to celebrate!
To the 500+ plus followers here, and those families who have chosen us to care for your children - we are so very grateful 💛