# SMILEY FAMILY DENTISTRY

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

## Provider details

- **NPI number:** 1861895823
- **Authorized official:** DR. JONATHAN SMILEY D.M.D (DENTIST)
- **Authorized official phone:** (217) 474-4385

## Contact information

- **Practice address:** 108 2ND ST NW, WAVERLY, IA 50677-2619
- **Practice address phone:** (217) 474-4385
- **Mailing address:** 108 2ND ST NW, WAVERLY, IA 50677-2619

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DDS09137 | IA | Yes |

## Other

- **Enumeration date:** 10/06/2014
- **Last updated:** 10/06/2014