| West End Smiles, Inc | |
|
1800 W End Ave Ste 102 Nashville TN 37203-2506 | |
| (615) 327-4904 | |
| (615) 320-5836 |
| Full Name | West End Smiles, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1800 W End Ave Ste 102, Nashville, Tennessee |
| Authorized Official Name and Position | Ivana K. Hrstic (DENTIST) |
| Authorized Official Contact | 6153274904 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West End Smiles, Inc 1800 W End Ave Ste 102 Nashville TN 37203-2506 Ph: (615) 327-4904 | West End Smiles, Inc 1800 W End Ave Ste 102 Nashville TN 37203-2506 Ph: (615) 327-4904 |
| NPI Number | 1699281790 |
|---|---|
| Provider Enumeration Date | 12/27/2017 |
| Last Update Date | 12/27/2017 |
| Medicare PECOS PAC ID | 7214287929 |
|---|---|
| Medicare Enrollment ID | O20180928000124 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699281790 | NPI | - | NPPES |
| 9177384 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 8146 (Tennessee) | Primary |
| Provider Name | Ivana Hrstic |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1225001134 PECOS PAC ID: 8820377161 Enrollment ID: I20180801002595 |
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