# LIFE DENTAL TENNESSEE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Smyrna Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720903008
- **Authorized official:** LAUREN S DAIGNEAULT (ADMINISTRATIVE & REVENUE CYCLE DIRE)
- **Authorized official phone:** (662) 550-2310

## Contact information

- **Practice address:** 100 MAYFIELD DR, SMYRNA, TN 37167-3017
- **Practice address phone:** (615) 459-3366
- **Mailing address:** 100 MAYFIELD DR, SMYRNA, TN 37167-3017
- **Mailing address phone:** (615) 459-3366

## Taxonomy

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

## Other

- **Enumeration date:** 08/13/2026
- **Last updated:** 08/13/2026