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Organization
SMILE STATION FAMILY DENTISTRY, LLC
Active
Organization
SMILE STATION FAMILY DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD SCOTT BRIDGES DMD (MEMBER)
(270) 519-7342
Entity
Organization
Contact information
Practice address
5504 REIDLAND RD, PADUCAH, KY 42003-0955
(270) 408-1234
Mailing address
710 WINDSOR WOODS, PADUCAH, KY 42001-4676
(270) 408-1234
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
7956
KY
261QD0000X
Dental Clinic/Center
Primary
7956
KY
Other
Enumeration date
06/13/2016
Last updated
06/13/2016
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