SMILE STATION FAMILY DENTISTRY LLC NPI 1689024465

NPI Information

NPI: 1689024465
Provider Name: SMILE STATION FAMILY DENTISTRY, LLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
5504 REIDLAND RD
PADUCAH, KY
ZIP 42003
Phone: (270) 408-1234
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SMILE STATION FAMILY DENTISTRY, LLC is a dental clinic center in Paducah, KY. SMILE STATION FAMILY DENTISTRY, LLC NPI is 1689024465. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5504 REIDLAND RD
PADUCAH, KY
ZIP 42003-955
Phone: (270) 408-1234

The provider's authorized official is Donald Scott Bridges .
The authorized official title is Member and has the following contact phone number (270) 519-7342.

The enumeration date for this NPI number is 6/13/2016 and was last updated on 6/13/2016.

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
1	122300000X	Dentist		7956	KENTUCKY	No
2	261QD0000X	Clinic/Center	Dental	7956	KENTUCKY	Yes

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: 4/28/2024

NPI Synchronization or Removal

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