| Southeast Smiles | |
|
2116 Megan Dr. Suite 101 Cape Girardeau MO 63701 | |
| (573) 296-2898 | |
| (573) 349-4391 |
| Full Name | Southeast Smiles |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2116 Megan Dr., Cape Girardeau, Missouri |
| Authorized Official Name and Position | Merritt Dake (MANAGER/OWNER) |
| Authorized Official Contact | 5017812777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeast Smiles 5100 Talley Road Suite 100 Little Rock AR 72204 Ph: (501) 781-2777 | Southeast Smiles 2116 Megan Dr. Suite 101 Cape Girardeau MO 63701 Ph: (573) 296-2898 |
| NPI Number | 1225432172 |
|---|---|
| Provider Enumeration Date | 10/21/2014 |
| Last Update Date | 10/21/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225432172 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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