| Mcminnville Smiles, Pllc | |
|
100 Morrison St Mcminnville TN 37110-2420 | |
| (931) 473-8506 | |
| Not Available |
| Full Name | Mcminnville Smiles, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 100 Morrison St, Mcminnville, Tennessee |
| Authorized Official Name and Position | Charlie Dallas Manning (SOLE OWNER) |
| Authorized Official Contact | 9317284143 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcminnville Smiles, Pllc 1056 Mcarthur St Manchester TN 37355-2454 Ph: (931) 728-4143 | Mcminnville Smiles, Pllc 100 Morrison St Mcminnville TN 37110-2420 Ph: (931) 473-8506 |
| NPI Number | 1609392075 |
|---|---|
| Provider Enumeration Date | 08/17/2017 |
| Last Update Date | 08/17/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609392075 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 9694 (Tennessee) | Primary |
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