| Ideal Dental Smyrna Pllc | |
|
574 W Sam Ridley Pkwy Smyrna TN 37167-5621 | |
| (615) 488-1151 | |
| (615) 412-0865 |
| Full Name | Ideal Dental Smyrna Pllc |
|---|---|
| Speciality | Dentist |
| Location | 574 W Sam Ridley Pkwy, Smyrna, Tennessee |
| Authorized Official Name and Position | Rodney Alles (OWNER) |
| Authorized Official Contact | 9723318079 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ideal Dental Smyrna Pllc Po Box 840925 Dallas TX 75284-0925 Ph: (972) 361-0060 | Ideal Dental Smyrna Pllc 574 W Sam Ridley Pkwy Smyrna TN 37167-5621 Ph: (615) 488-1151 |
| NPI Number | 1770249633 |
|---|---|
| Provider Enumeration Date | 11/15/2021 |
| Last Update Date | 05/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770249633 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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