| Smartsmile Orthodontics, Pllc | |
|
7724 Old Canton Rd Madison MS 39110-9299 | |
| (601) 853-1307 | |
| (601) 853-9872 |
| Full Name | Smartsmile Orthodontics, Pllc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 7724 Old Canton Rd, Madison, Mississippi |
| Authorized Official Name and Position | Erin Britton Montgomery (DOCTOR) |
| Authorized Official Contact | 6018531307 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smartsmile Orthodontics, Pllc 7724 Old Canton Rd Madison MS 39110-9299 Ph: (601) 853-1307 | Smartsmile Orthodontics, Pllc 7724 Old Canton Rd Madison MS 39110-9299 Ph: (601) 853-1307 |
| NPI Number | 1417287376 |
|---|---|
| Provider Enumeration Date | 12/28/2009 |
| Last Update Date | 11/24/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417287376 | NPI | - | NPPES |
| 06455258 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 3388-06 (Mississippi) | Primary |
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