| Southern Smiles Pllc | |
|
553 W Commerce St Lewisburg TN 37091-3219 | |
| (931) 359-1900 | |
| (931) 359-9774 |
| Full Name | Southern Smiles Pllc |
|---|---|
| Speciality | Dentist |
| Location | 553 W Commerce St, Lewisburg, Tennessee |
| Authorized Official Name and Position | Jeanette K Truelove (ADMIN) |
| Authorized Official Contact | 9313591900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Smiles Pllc 553 W Commerce St Lewisburg TN 37091-3219 Ph: (931) 359-1900 | Southern Smiles Pllc 553 W Commerce St Lewisburg TN 37091-3219 Ph: (931) 359-1900 |
| NPI Number | 1720449572 |
|---|---|
| Provider Enumeration Date | 03/08/2016 |
| Last Update Date | 03/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720449572 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 9005 (Tennessee) | Primary |
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