# SMILES DENTAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023820875
- **Authorized official:** DETRICH WILLIAMS DMD (DENTIST/ OWNER)
- **Authorized official phone:** (305) 731-8141

## Contact information

- **Practice address:** 316 RUE SAINT FRANCOIS ST, FLORISSANT, MO 63031-5016
- **Practice address phone:** (314) 838-1167
- **Practice address fax:** (314) 838-0823
- **Mailing address:** 316 RUE SAINT FRANCOIS ST, FLORISSANT, MO 63031-5016
- **Mailing address phone:** (314) 838-1167
- **Mailing address fax:** (314) 838-0823

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/20/2025
- **Last updated:** 01/20/2025