| Southern Smiles | |
|
4279 Highway 15 Mangham LA 71259-5189 | |
| (318) 248-4986 | |
| (318) 248-3379 |
| Full Name | Southern Smiles |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4279 Highway 15, Mangham, Louisiana |
| Authorized Official Name and Position | Jennifer Newton Boles (OWNER) |
| Authorized Official Contact | 3182484986 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Smiles 4279 Highway 15 Mangham LA 71259-5189 Ph: (318) 248-4986 | Southern Smiles 4279 Highway 15 Mangham LA 71259-5189 Ph: (318) 248-4986 |
| NPI Number | 1184937906 |
|---|---|
| Provider Enumeration Date | 07/21/2010 |
| Last Update Date | 03/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184937906 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5050 (Louisiana) | Primary |
B&l Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4279 Highway 15, Mangham, LA 71259 Phone: 318-248-4986 Fax: 318-248-3379 |