| Smileaway Family Dentistry, Plc | |
|
694 N Germantown Pkwy Suite 50 Cordova TN 38018-6284 | |
| (901) 334-1900 | |
| (901) 334-1911 |
| Full Name | Smileaway Family Dentistry, Plc |
|---|---|
| Speciality | Dentist |
| Location | 694 N Germantown Pkwy, Cordova, Tennessee |
| Authorized Official Name and Position | Veena V Ammal (OWNER) |
| Authorized Official Contact | 9013341900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Smileaway Family Dentistry, Plc 694 N Germantown Pkwy Suite 50 Cordova TN 38018-6284 Ph: (901) 334-1900 | Smileaway Family Dentistry, Plc 694 N Germantown Pkwy Suite 50 Cordova TN 38018-6284 Ph: (901) 334-1900 |
| NPI Number | 1407235054 |
|---|---|
| Provider Enumeration Date | 05/28/2015 |
| Last Update Date | 01/09/2017 |
| Medicare PECOS PAC ID | 3173803848 |
|---|---|
| Medicare Enrollment ID | O20161215001051 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407235054 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DS0000007987 (Tennessee) | Primary |
| Provider Name | Veena Ammal |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1437147337 PECOS PAC ID: 4082994751 Enrollment ID: I20170111001754 |
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