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Organization
BEACON OF SMILES LLC
Active
Organization
BEACON OF SMILES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHELBY PERKINS (OWNER/DENTIST)
(337) 886-1246
Entity
Organization
Contact information
Practice address
901 W GLORIA SWITCH RD, LAFAYETTE, LA 70507-2309
(337) 886-1246
Mailing address
901 W GLORIA SWITCH RD, LAFAYETTE, LA 70507-2309
(337) 886-1246
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/25/2025
Last updated
03/25/2025
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