| Southern Smiles | |
|
902 Julia St Rayville LA 71269-2618 | |
| (318) 728-8773 | |
| (318) 728-8787 |
| Full Name | Southern Smiles |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 902 Julia St, Rayville, Louisiana |
| Authorized Official Name and Position | Jennifer Newton Boles (OWNER) |
| Authorized Official Contact | 3182484986 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Smiles 902 Julia St Rayville LA 71269-2618 Ph: (318) 728-8773 | Southern Smiles 902 Julia St Rayville LA 71269-2618 Ph: (318) 728-8773 |
| NPI Number | 1225308398 |
|---|---|
| Provider Enumeration Date | 01/06/2012 |
| Last Update Date | 03/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225308398 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5050 (Louisiana) | Primary |
Southern Smiles Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 902 Julia St, Rayville, LA 71269 Phone: 318-728-8773 Fax: 318-728-8787 | |
W. Tyler Heath, D.m.d., Family Dentistry A Dent Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1107 Louisa Street, Rayville, LA 71269 Phone: 318-728-9585 Fax: 318-728-9595 |