| Creating Beautiful Smiles Sc | |
|
4425 Taylor Ave Suite 3 Mount Pleasant WI 53405-4642 | |
| (262) 554-9055 | |
| (262) 554-9053 |
| Full Name | Creating Beautiful Smiles Sc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4425 Taylor Ave, Mount Pleasant, Wisconsin |
| Authorized Official Name and Position | Tiffany Jeannine Smalkoski (DENTIST) |
| Authorized Official Contact | 2625549055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creating Beautiful Smiles Sc 4425 Taylor Ave Suite 3 Mount Pleasant WI 53405-4642 Ph: (262) 554-9055 | Creating Beautiful Smiles Sc 4425 Taylor Ave Suite 3 Mount Pleasant WI 53405-4642 Ph: (262) 554-9055 |
| NPI Number | 1255888103 |
|---|---|
| Provider Enumeration Date | 09/08/2016 |
| Last Update Date | 09/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255888103 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 268160 (Wisconsin) | Primary |
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