SOUTHEAST MOBILE SMILES NPI 1427569664

NPI Information

  • NPI: 1427569664
  • Provider Name: SOUTHEAST MOBILE SMILES
  • Classification: Dentist - 1223D0001X
  • Specialization: Dental Public Health
  • Entity Type: Organization
  • Address: 842 BROOKSHIRE BLVD
    MARYVILLE, TN
    ZIP 37803
  • Phone: (865) 441-2527

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NPI Details

SOUTHEAST MOBILE SMILES is a dental public health dentist in Maryville, TN. The provider is the science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. SOUTHEAST MOBILE SMILES NPI is 1427569664. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

842 BROOKSHIRE BLVD
MARYVILLE, TN
ZIP 37803-475
Phone: (865) 441-2527

The provider's authorized official is Callie Michele Fishel .
The authorized official title is Dental Hygienist and has the following contact phone number (865) 441-2527.

The enumeration date for this NPI number is 10/16/2017 and was last updated on 10/16/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223D0001XDentistDental Public HealthDS9854TENNESSEEYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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