# JOELLE HAIRSTON DDS PLLC

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

## Provider details

- **NPI number:** 1679215834
- **Authorized official:** DR. JOELLE LAQUITA MARIE HAIRSTON DDS (MANAGING MEMBER)
- **Authorized official phone:** (912) 661-2100

## Contact information

- **Practice address:** 107 BULIFANTS BLVD, WILLIAMSBURG, VA 23188-5710
- **Practice address phone:** (757) 941-4441
- **Practice address fax:** (757) 941-4448
- **Mailing address:** 8105 HELMSDALE CT, WILLIAMSBURG, VA 23188-6644
- **Mailing address phone:** (912) 661-2100

## Taxonomy

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

## Other

- **Enumeration date:** 04/08/2022
- **Last updated:** 04/08/2022