Puddle Dock Pediatrics is a welcoming, innovative, and patient-centered pediatric practice located in Portsmouth, NH.
Alyssa Reyes Smith, MD, FAAP
Flu and COVID shots are here!
Appointments are available on Tuesdays, Wednesdays, and Thursdays. Call or message us to secure your child's slot.
New Patients Welcome
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.
Partnerships Built on Trust
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.
We Accept Most Insurance
In order to be as accessible as possible to the families in our community, we take most insurances, including Medicaid.
Get the Right Dose
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.
Resources You Can Trust
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.
News & Social Media
Flu shots are here!
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.
Our next big announcement: new faces at Puddle Dock! 🌈 Meet Emily and Amanda, our dynamic duo of nurses who joined the team this month. Many of you have already met them in person or chatted with them in Spruce. We are thrilled to welcome them and you can read their full bios soon at puddledockpediatrics.com/about/#meet-our-team
First bit of BIG NEWS for Puddle Dock in 2026! We’re excited to introduce CHADIS, a new way to complete screening questionnaires right in your patient portal—making visits smoother, faster, and more eco-friendly as we move toward a paperless practice.
CHADIS supports early identification of developmental, social, emotional, and behavioral concerns, helping us better care for your child. All responses are completely confidential and viewed only by your doctor.
Best of all, you can complete questionnaires ahead of time, at home and on your schedule—saving valuable time during your visit and giving us more space to focus on what matters most: your child.
We’re launching next week and would love your feedback as we get started!
For the third year in a row, Dr. Smith has been named a Castle Connolly Top Doctor! This is a recognition that goes to only the top 7% of all U.S. board-certified physicians 🏆 congratulations to Dr. Smith and the entire Puddle Dock team!
WE ARE HIRING 🥳 Puddle Dock is looking to grow its tight-knit team! Our Medical Assistant position is ideal for organized and reliable individuals with a passion for pediatrics. Pre-professional students seeking hands-on experience and mentorship in a welcoming and supportive environment are encouraged to apply. Read the full job listing and apply at www.puddledockpediatrics.com/about/#joinourteam
Immunizations save lives. They are proven to work, proven to be safe, and we continue to recommend them. Find the American Academy of Pediatrics immunization schedule here: https://downloads.aap.org/AAP/PDF/AAP-Immunization-Schedule.pdf
