Puddle Dock Pediatrics is a welcoming, innovative, and patient-centered pediatric practice located in Portsmouth, NH.
Alyssa Reyes Smith, MD, FAAP
Phone/SMS services is fully restored!
UPDATE 10/20/25 8:00am: despite the global AWS outage, our VOIP provider Spruce has restored phone and SMS capabilities! Remember that current patients also can reach us via Spruce Messenger and the patient portal at any time.
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.
Today we celebrated ANNA, our medical assistant! Whether she’s fielding phone calls, completing referrals, or getting your child settled in for their doctor’s appointment - she does it all with grace and humor. We are so lucky to have her as part of our small but mighty Puddle Dock team, and can’t wait to see what the future holds for her - she is going to make a GREAT Physician Assistant! 💛 🩺 🌈
Due to the global AWS outage, we are unable to receive SMS text messages at this time (UPDATE: as of 7:30am EST, it seems that phone calls are starting to come through!).
But never fear! Current patients can still reach us via:
📱Spruce Messenger, and 💻 the patient portal. We will keep you updated here until full phone service is restored.
Today, our team began administering Beyfortus to qualifying patients to protect them against RSV. Here’s what parents need to know this season:
• WHAT IS RSV? RSV (Respiratory Syncytial Virus) is a common virus that can cause serious illness in babies, especially those under 6 months old. It often looks like a cold, but can lead to bronchiolitis or pneumonia.
• WHY DOES THE RSV SHOT MATTER? This RSV antibody injection can help protect your baby before they get exposed. It’s especially important during fall and winter, when RSV cases tend to spike.
• WHO SHOULD GET IT AND WHEN? Babies under 8 months old entering their first RSV season are eligible. Some older babies with higher risk factors may qualify, too. Talk to us to see if your child is a candidate.
• ADDITIONAL QUESTIONS? We’re here to help. Reach out for more information or to schedule an immunization visit for your child. If your child is due for a checkup soon, we will be sure to discuss whether your child is eligible!
As we wrap up the month of September, we’d like to remind caregivers and adult patients to register to VOTE! 🗳️ Make your voice heard and have a positive impact on the health of our kids and communities 🇺🇸 #votekids
How many flu shots will we give in October? Call to book your child’s vaccine visit today! 💪🏽 (COVID shots coming soon) #flubeforeboo
