# SOPHISTICATED SMILES TC, LLC

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

## Provider details

- **NPI number:** 1346091444
- **Authorized official:** SCOT ARMSTRONG (MANAGER)
- **Authorized official phone:** (770) 307-8726

## Contact information

- **Practice address:** 189 CORPORATE DR STE 20, JOHNSON CITY, TN 37604-2385
- **Practice address phone:** (770) 307-8726
- **Mailing address:** 189 CORPORATE DR STE 20, JOHNSON CITY, TN 37604-2385
- **Mailing address phone:** (770) 307-8726

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/28/2024
- **Last updated:** 03/28/2024