# SMILERESTORE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SmileRestore
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144827767
- **Authorized official:** DR. GEORGENE BERNICE CHASE DDS (DENTIST/EXECUTIVE DIRECTOR)
- **Authorized official phone:** (775) 800-1051

## Contact information

- **Practice address:** 5365 MAE ANNE AVE STE B1, RENO, NV 89523-1897
- **Practice address phone:** (775) 800-1051
- **Practice address fax:** (775) 313-9032
- **Mailing address:** 5365 MAE ANNE AVE STE B1, RENO, NV 89523-1897
- **Mailing address phone:** (775) 800-1051
- **Mailing address fax:** (775) 313-9032

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 10/06/2020
- **Last updated:** 10/06/2020