# DR. SMILES PLLC A SERIES OF DR. SMILES OF MEMPHIS PLLC A TN SERIES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DR SMILES - KIRBY PKWY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689155202
- **Authorized official:** MARRIO RHODAN THOMAS DDS (DENTIST/CEO)
- **Authorized official phone:** (901) 537-0077

## Contact information

- **Practice address:** 6621 KIRBY CENTER CV, MEMPHIS, TN 38115-4313
- **Practice address phone:** (901) 537-0077
- **Practice address fax:** (901) 537-0088
- **Mailing address:** 670 COLONIAL RD STE 6, MEMPHIS, TN 38117-5160
- **Mailing address phone:** (901) 537-0077
- **Mailing address fax:** (901) 537-0088

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 7671 | TN | Yes |

## Other

- **Enumeration date:** 08/22/2018
- **Last updated:** 08/22/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1520914 | — | TN |