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Organization
SIMPLY SMILES, INC.
Active
Organization
SIMPLY SMILES, INC.
Active
Parent organization
SIMPLY SMILES, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
SIMPLY SMILES, INC.
Authorized official
MR. COLTER COMBELLICK LICSW, CSW - PIP (CLINICAL COORDINATOR)
(203) 810-4041
Entity
Organization
Contact information
Practice address
27249 HWY 212, LA PLANT, SD 57652
(774) 328-1824
Mailing address
1771 POST ROAD EAST, WESTPORT, CT 06880
(203) 810-4041
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
NULL
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/20/2019
Last updated
06/08/2022
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