# FAMILY & COSMETIC DENTISTRY OF SMYRNA

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

## Provider details

- **NPI number:** 1679675052
- **Authorized official:** MS. KATHY ANN ROBERTS OFFICE MANAGER (OFFICE MANAGER)
- **Authorized official phone:** (615) 355-1062

## Contact information

- **Practice address:** 780 NISSAN DR, SMYRNA, TN 37167-4407
- **Practice address phone:** (615) 355-1062
- **Practice address fax:** (615) 355-1933
- **Mailing address:** 780 NISSAN DR, SMYRNA, TN 37167-4407
- **Mailing address phone:** (615) 355-1062
- **Mailing address fax:** (615) 355-1933

## Taxonomy

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

## Other

- **Enumeration date:** 09/05/2006
- **Last updated:** 08/22/2020