| Heart Smiles, Llc | |
|
6223 Mt Moriah Rd Ext Memphis TN 38115-2741 | |
| (901) 794-3391 | |
| (901) 794-9706 |
| Full Name | Heart Smiles, Llc |
|---|---|
| Speciality | Dentist |
| Location | 6223 Mt Moriah Rd Ext, Memphis, Tennessee |
| Authorized Official Name and Position | Chaundrea Hamilton (MANAGER) |
| Authorized Official Contact | 9017943391 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heart Smiles, Llc 6223 Mt Moriah Rd Ext Memphis TN 38115-2741 Ph: (901) 794-3391 | Heart Smiles, Llc 6223 Mt Moriah Rd Ext Memphis TN 38115-2741 Ph: (901) 794-3391 |
| NPI Number | 1326281726 |
|---|---|
| Provider Enumeration Date | 04/14/2009 |
| Last Update Date | 04/14/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326281726 | NPI | - | NPPES |
| 004455 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6919 (Tennessee) | Primary |
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