| Smillie Dental Pllc | |
|
5537 S Williamson Blvd Ste 675 Port Orange FL 32128-8314 | |
| (386) 317-4754 | |
| Not Available |
| Full Name | Smillie Dental Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5537 S Williamson Blvd Ste 675, Port Orange, Florida |
| Authorized Official Name and Position | Joseph Smillie (OWNER/DENTIST) |
| Authorized Official Contact | 3214469037 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smillie Dental Pllc 5537 S Williamson Blvd Ste 675 Port Orange FL 32128-8314 Ph: (386) 317-4754 | Smillie Dental Pllc 5537 S Williamson Blvd Ste 675 Port Orange FL 32128-8314 Ph: (386) 317-4754 |
| NPI Number | 1750981452 |
|---|---|
| Provider Enumeration Date | 10/30/2020 |
| Last Update Date | 10/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750981452 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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