| Simply Smiles, Inc. | |
|
27249 Hwy 212 La Plant SD 57652 | |
| (774) 328-1824 | |
| Not Available |
| Full Name | Simply Smiles, Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 27249 Hwy 212, La Plant, South Dakota |
| Authorized Official Name and Position | Colter Combellick (CLINICAL COORDINATOR) |
| Authorized Official Contact | 2038104041 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Simply Smiles, Inc. 1771 Post Road East Westport CT 06880 Ph: (203) 810-4041 | Simply Smiles, Inc. 27249 Hwy 212 La Plant SD 57652 Ph: (774) 328-1824 |
| NPI Number | 1063050078 |
|---|---|
| Provider Enumeration Date | 12/20/2019 |
| Last Update Date | 06/08/2022 |
| Certification Date | 06/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063050078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Simply Smiles, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 27249 Hwy 212, La Plant, SD 57652 Phone: 032-810-4041 |