# SMILE, IT'S HEALTHY L.L.C.

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

## Provider details

- **NPI number:** 1740719004
- **Authorized official:** MARK MCDOUGALD (PRESIDENT)
- **Authorized official phone:** (913) 254-4065

## Contact information

- **Practice address:** 4400 SHAWNEE MISSION PARKWAY, SUITE 208, FAIRWAY, KS 66205
- **Practice address phone:** (913) 254-4065
- **Mailing address:** 4400 SHAWNEE MISSION PKWY STE 208, FAIRWAY, KS 66205-2518
- **Mailing address phone:** (913) 254-4065

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223D0001X | Public Health Dentistry | — | NULL | Yes |
| 1223D0001X | Public Health Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 06/08/2017
- **Last updated:** 07/21/2022