| Sophisticated Smiles | |
|
302 Wesley St Suite #4 Johnson City TN 37601-1740 | |
| (423) 928-8359 | |
| (423) 282-6018 |
| Full Name | Sophisticated Smiles |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 302 Wesley St, Johnson City, Tennessee |
| Authorized Official Name and Position | Angela R Cameron (OWNER) |
| Authorized Official Contact | 4239288359 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sophisticated Smiles 302 Wesley St Suite #4 Johnson City TN 37601-1740 Ph: (423) 928-8359 | Sophisticated Smiles 302 Wesley St Suite #4 Johnson City TN 37601-1740 Ph: (423) 928-8359 |
| NPI Number | 1043426380 |
|---|---|
| Provider Enumeration Date | 05/15/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043426380 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7973 (Tennessee) | Primary |
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