| Smile Studio Orthodontics | |
|
200 W Main St Chattanooga TN 37408-1136 | |
| (423) 265-6685 | |
| (423) 265-8206 |
| Full Name | Smile Studio Orthodontics |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 200 W Main St, Chattanooga, Tennessee |
| Authorized Official Name and Position | George Mitchell Baldree (ORGANIZER/MANAGING MEMBER) |
| Authorized Official Contact | 4232656685 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Studio Orthodontics 200 W Main St Chattanooga TN 37408-1136 Ph: (423) 265-6685 | Smile Studio Orthodontics 200 W Main St Chattanooga TN 37408-1136 Ph: (423) 265-6685 |
| NPI Number | 1538456199 |
|---|---|
| Provider Enumeration Date | 07/05/2011 |
| Last Update Date | 12/31/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538456199 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | DS005096 (Tennessee) | Primary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DS005163 (Tennessee) | Secondary |
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