| Smile Dentistry Llc | |
|
1117 Canal Blvd Thibodaux LA 70301-4509 | |
| (985) 446-3855 | |
| Not Available |
| Full Name | Smile Dentistry Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1117 Canal Blvd, Thibodaux, Louisiana |
| Authorized Official Name and Position | Renee Biondo (DENTIST/OWNER) |
| Authorized Official Contact | 9854463855 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Dentistry Llc 205 Abby Lake Dr Thibodaux LA 70301-1633 Ph: () - | Smile Dentistry Llc 1117 Canal Blvd Thibodaux LA 70301-4509 Ph: (985) 446-3855 |
| NPI Number | 1578038162 |
|---|---|
| Provider Enumeration Date | 10/10/2018 |
| Last Update Date | 10/10/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578038162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Secondary |
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