Smiley Tooth Spa, Inc | |
500 Lentz Dr Ste 70 Madison TN 37115-5135 | |
(615) 969-2774 | |
(615) 327-4433 |
Full Name | Smiley Tooth Spa, Inc |
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Speciality | Dentist - General Practice |
Location | 500 Lentz Dr Ste 70, Madison, Tennessee |
Authorized Official Name and Position | George Wesley Smiley (OWNER) |
Authorized Official Contact | 6159692774 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Smiley Tooth Spa, Inc 500 Lentz Dr Ste 70 Madison TN 37115-5135 Ph: (615) 969-2774 | Smiley Tooth Spa, Inc 500 Lentz Dr Ste 70 Madison TN 37115-5135 Ph: (615) 969-2774 |
NPI Number | 1205103553 |
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Provider Enumeration Date | 11/30/2011 |
Last Update Date | 11/30/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205103553 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | DS8039 (Tennessee) | Primary |
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