# SMILEY TOOTH SPA, INC

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

## Provider details

- **NPI number:** 1205103553
- **Authorized official:** DR. GEORGE WESLEY SMILEY D.D.S. (OWNER)
- **Authorized official phone:** (615) 969-2774

## Contact information

- **Practice address:** 500 LENTZ DR STE 70, MADISON, TN 37115-5135
- **Practice address phone:** (615) 969-2774
- **Practice address fax:** (615) 327-4433
- **Mailing address:** 500 LENTZ DR STE 70, MADISON, TN 37115-5135
- **Mailing address phone:** (615) 969-2774
- **Mailing address fax:** (615) 327-4433

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DS8039 | TN | Yes |

## Other

- **Enumeration date:** 11/30/2011
- **Last updated:** 11/30/2011