| Southern Smiles Dentistry,llc | |
|
304 E College St Dickson TN 37055-1860 | |
| (615) 446-4967 | |
| (615) 446-8530 |
| Full Name | Southern Smiles Dentistry,llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 304 E College St, Dickson, Tennessee |
| Authorized Official Name and Position | Jeffrey Darnell Baggett (SOLE MEMBER) |
| Authorized Official Contact | 6154464967 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Smiles Dentistry,llc 304 E College St Dickson TN 37055-1860 Ph: (615) 446-4967 | Southern Smiles Dentistry,llc 304 E College St Dickson TN 37055-1860 Ph: (615) 446-4967 |
| NPI Number | 1659735801 |
|---|---|
| Provider Enumeration Date | 04/13/2016 |
| Last Update Date | 04/13/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659735801 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS4678 (Tennessee) | Primary |
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