| Southern Smiles Dental Practice | |
|
755 11th St Lakeport CA 95453-3705 | |
| (707) 263-7023 | |
| Not Available |
| Full Name | Southern Smiles Dental Practice |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 755 11th St, Lakeport, California |
| Authorized Official Name and Position | Jeannine Saso (BUSINESS MANAGER) |
| Authorized Official Contact | 9164793432 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Smiles Dental Practice 755 11th St Lakeport CA 95453-3705 Ph: (707) 263-7023 | Southern Smiles Dental Practice 755 11th St Lakeport CA 95453-3705 Ph: (707) 263-7023 |
| NPI Number | 1518649516 |
|---|---|
| Provider Enumeration Date | 08/01/2023 |
| Last Update Date | 02/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518649516 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Alexander R. Mcgeoch, Dds, Apc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1870 N High St, Lakeport, CA 95453 Phone: 707-263-5427 Fax: 707-263-3925 | |
Levi S.palmer, Dds, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 626 S Main St, Lakeport, CA 95453 Phone: 707-262-1919 Fax: 707-262-5831 | |
Jonathan M Drew Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 9th St, Lakeport, CA 95453 Phone: 707-263-5390 | |
Christopher O. Torres, Dds, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1870 N High St, Lakeport, CA 95453 Phone: 707-263-5427 Fax: 707-263-3925 |