# HEALTHY SMILES FAMILY DENTAL CARE, PLLC

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

## Provider details

- **NPI number:** 1790167500
- **Authorized official:** DR. TIFFANY JEAN RILEY DMD (GENERAL DENTIST)
- **Authorized official phone:** (270) 205-8197

## Contact information

- **Practice address:** 1927 IRVIN COBB DR, SUITE 1, PADUCAH, KY 42003-2105
- **Practice address phone:** (270) 442-6617
- **Practice address fax:** (270) 442-0089
- **Mailing address:** 75 RILEY CIR, CALVERT CITY, KY 42029-7803
- **Mailing address phone:** (270) 703-8874
- **Mailing address fax:** (888) 735-8036

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 8378 | KY | Yes |

## Other

- **Enumeration date:** 06/29/2015
- **Last updated:** 06/29/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7100006580 | — | KY |