| Signature Smiles Pllc | |
|
113 Dees Dr Ste D Madison MS 39110-5049 | |
| (601) 540-8789 | |
| Not Available |
| Full Name | Signature Smiles Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 113 Dees Dr Ste D, Madison, Mississippi |
| Authorized Official Name and Position | Trisha R Patel (OWNER DENTIST) |
| Authorized Official Contact | 6015408789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Signature Smiles Pllc 113 Dees Dr Ste D Madison MS 39110-5049 Ph: (601) 540-8789 | Signature Smiles Pllc 113 Dees Dr Ste D Madison MS 39110-5049 Ph: (601) 540-8789 |
| NPI Number | 1619600269 |
|---|---|
| Provider Enumeration Date | 07/01/2022 |
| Last Update Date | 07/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619600269 | NPI | - | NPPES |
| 4000-18 | Other | MS | DENTIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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