| Smiley Tooth Spa | |
|
500 Lentz Dr Suite 70 Madison TN 37115-5135 | |
| (615) 678-1051 | |
| (615) 678-1081 |
| Full Name | Smiley Tooth Spa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 500 Lentz Dr, Madison, Tennessee |
| Authorized Official Name and Position | George Wesley Smiley (OWNER) |
| Authorized Official Contact | 6156781051 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smiley Tooth Spa 500 Lentz Dr Suite 70 Madison TN 37115-5135 Ph: (615) 678-1051 | Smiley Tooth Spa 500 Lentz Dr Suite 70 Madison TN 37115-5135 Ph: (615) 678-1051 |
| NPI Number | 1053706598 |
|---|---|
| Provider Enumeration Date | 04/01/2015 |
| Last Update Date | 04/01/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053706598 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS8039 (Tennessee) | Primary |
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Smiley Tooth Spa, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Lentz Dr Ste 70, Madison, TN 37115 Phone: 615-969-2774 Fax: 615-327-4433 |