# SOUTHEASTERN MOBILE DENTAL SERVICES INC

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

## Provider details

- **NPI number:** 1730354374
- **Authorized official:** MS. JUDY JONES (DENTAL DIRECTOR)
- **Authorized official phone:** (615) 202-8864

## Contact information

- **Practice address:** 18383 N FORK RIVER RD, ABINGDON, VA 24210-4335
- **Practice address phone:** (615) 202-8864
- **Mailing address:** 358 RELAX DR \# LO2, SMITHVILLE, TN 37166-7351
- **Mailing address phone:** (615) 215-7115
- **Mailing address fax:** (615) 215-7113

## Taxonomy

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

## Other

- **Enumeration date:** 04/24/2008
- **Last updated:** 04/24/2008