Winn Smiles Cleveland | |
120 23rd St Nw Cleveland TN 37311-3845 | |
(423) 472-6482 | |
Not Available |
Full Name | Winn Smiles Cleveland |
---|---|
Speciality | Dentist |
Location | 120 23rd St Nw, Cleveland, Tennessee |
Authorized Official Name and Position | Bradley Winn (OWNER) |
Authorized Official Contact | 4234726482 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Winn Smiles Cleveland 120 23rd St Nw Cleveland TN 37311-3845 Ph: (423) 472-6482 | Winn Smiles Cleveland 120 23rd St Nw Cleveland TN 37311-3845 Ph: (423) 472-6482 |
NPI Number | 1861535759 |
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Provider Enumeration Date | 02/14/2007 |
Last Update Date | 11/07/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861535759 | NPI | - | NPPES |
4062753 | Other | TN | OUR BCBS PROVIDER ID # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 7761 (Tennessee) | Primary |
122300000X | Dentist | 8088 (Tennessee) | Secondary |
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