# SMYRNA FAMILY DENTISTRY PLLC

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

## Provider details

- **NPI number:** 1366939340
- **Authorized official:** PAOLA RAMOS (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (972) 869-3789

## Contact information

- **Practice address:** 1450 SAM DAVIS RD STE 120, SMYRNA, TN 37167-2754
- **Practice address phone:** (615) 459-6974
- **Mailing address:** PO BOX 734753, DALLAS, TX 75373-4753
- **Mailing address phone:** (972) 869-3789

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DS9797 | TN | Yes |

## Other

- **Enumeration date:** 04/16/2018
- **Last updated:** 04/02/2024