# SIMPLY SMILES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SIMPLY SMILES, INC.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1063050078
- **Legal business name:** SIMPLY SMILES, INC.
- **Authorized official:** MR. COLTER COMBELLICK LICSW, CSW - PIP (CLINICAL COORDINATOR)
- **Authorized official phone:** (203) 810-4041

## Contact information

- **Practice address:** 27249 HWY 212, LA PLANT, SD 57652
- **Practice address phone:** (774) 328-1824
- **Mailing address:** 1771 POST ROAD EAST, WESTPORT, CT 06880
- **Mailing address phone:** (203) 810-4041

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 12/20/2019
- **Last updated:** 06/08/2022