| Scenic City Smiles Pllc | |
|
4300 Peerless Rd Nw Ste 100 Cleveland TN 37312-3730 | |
| (423) 855-4201 | |
| (423) 855-4203 |
| Full Name | Scenic City Smiles Pllc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 4300 Peerless Rd Nw Ste 100, Cleveland, Tennessee |
| Authorized Official Name and Position | Tathia Mattila (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 4233147529 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Scenic City Smiles Pllc 4300 Peerless Rd Nw Ste 100 Cleveland TN 37312-3730 Ph: (423) 855-4201 | Scenic City Smiles Pllc 4300 Peerless Rd Nw Ste 100 Cleveland TN 37312-3730 Ph: (423) 855-4201 |
| NPI Number | 1275355059 |
|---|---|
| Provider Enumeration Date | 10/31/2024 |
| Last Update Date | 10/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275355059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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