| Dr Smiles - Kirby Pkwy | |
|
6621 Kirby Center Cv Memphis TN 38115-4313 | |
| (901) 537-0077 | |
| (901) 537-0088 |
| Full Name | Dr Smiles - Kirby Pkwy |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6621 Kirby Center Cv, Memphis, Tennessee |
| Authorized Official Name and Position | Marrio Rhodan Thomas (DENTIST/CEO) |
| Authorized Official Contact | 9015370077 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Smiles - Kirby Pkwy 670 Colonial Rd Ste 6 Memphis TN 38117-5160 Ph: (901) 537-0077 | Dr Smiles - Kirby Pkwy 6621 Kirby Center Cv Memphis TN 38115-4313 Ph: (901) 537-0077 |
| NPI Number | 1689155202 |
|---|---|
| Provider Enumeration Date | 08/22/2018 |
| Last Update Date | 08/22/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689155202 | NPI | - | NPPES |
| 1520914 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7671 (Tennessee) | Primary |
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