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DR. SMILES PLLC A SERIES OF DR. SMILES OF MEMPHIS PLLC A TN SERIES LLC NPI 1689155202


NPI Information

NPI: 1689155202
Provider Name: DR. SMILES PLLC A SERIES OF DR. SMILES OF MEMPHIS PLLC A TN SERIES LLC

Doing Business As: DR SMILES - KIRBY PKWY

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
6621 KIRBY CENTER CV
MEMPHIS, TN
ZIP 38115
Phone: (901) 537-0077
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DR. SMILES PLLC A SERIES OF DR. SMILES OF MEMPHIS PLLC A TN SERIES LLC is a general practice dentist in Memphis, TN. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. SMILES PLLC A SERIES OF DR. SMILES OF MEMPHIS PLLC A TN SERIES LLC NPI is 1689155202. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Dr Smiles - Kirby Pkwy.

The provider's business location address is:

6621 KIRBY CENTER CV
MEMPHIS, TN
ZIP 38115-313
Phone: (901) 537-0077
Fax: (901) 537-0088

The provider's authorized official is Marrio Rhodan Thomas .
The authorized official title is Dentist/ceo and has the following contact phone number (901) 537-0077.

The enumeration date for this NPI number is 8/22/2018 and was last updated on 8/22/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice7671TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11520914MEDICAIDTENNESSEE

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

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