# SMILE SOLUTIONS OF KANSAS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Smile Solutions
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194531327
- **Authorized official:** DR. KRISHNA GORANTLA DDS (MANAGING CLINICAL DIRECTOR)
- **Authorized official phone:** (423) 707-5766

## Contact information

- **Practice address:** 611 N BROADWAY ST STE B, PITTSBURG, KS 66762-3928
- **Practice address phone:** (423) 707-5766
- **Mailing address:** 611 N BROADWAY ST STE B, PITTSBURG, KS 66762-3928
- **Mailing address phone:** (423) 707-5766

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 12/03/2024
- **Last updated:** 02/28/2025
