| Smile Time Kids, Llc | |
|
1923 Chester Blvd Richmond IN 47374-1212 | |
| (317) 675-6055 | |
| Not Available |
| Full Name | Smile Time Kids, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1923 Chester Blvd, Richmond, Indiana |
| Authorized Official Name and Position | Michelle H Edwards (DENTIST) |
| Authorized Official Contact | 3178428453 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Time Kids, Llc 1923 Chester Blvd Richmond IN 47374-1212 Ph: (317) 675-6055 | Smile Time Kids, Llc 1923 Chester Blvd Richmond IN 47374-1212 Ph: (317) 675-6055 |
| NPI Number | 1417327537 |
|---|---|
| Provider Enumeration Date | 10/01/2015 |
| Last Update Date | 10/01/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417327537 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 12010350A (Indiana) | Primary |
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