# SMALL SMILES DENTISTRY FOR CHILDREN, SANTA FE, PC

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

## Provider details

- **NPI number:** 1598830929
- **Authorized official:** MS. JENELL STRINGER (MANAGER, LICENSING & CREDENTIALING)
- **Authorized official phone:** (615) 750-0343

## Contact information

- **Practice address:** 2008 SAINT MICHAELS DR, \#B, SANTA FE, NM 87505-7682
- **Practice address phone:** (505) 474-4993
- **Practice address fax:** (505) 474-4973
- **Mailing address:** 16 ARCADE UNIT 198747, NASHVILLE, TN 37219-1994
- **Mailing address phone:** (615) 750-0343
- **Mailing address fax:** (615) 986-1705

## Taxonomy

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

## Other

- **Enumeration date:** 11/21/2006
- **Last updated:** 06/11/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1771973 | UNITED CONCORDIA | — |
| 05 | — | B5017 | — | NM |