# ELITE SMILES, PLLC

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

## Provider details

- **NPI number:** 1881402105
- **Authorized official:** ANGIE VANCE (INSURANCE COORDINATOR)
- **Authorized official phone:** (423) 794-7962

## Contact information

- **Practice address:** 303 S CONCORD ST STE 323, KNOXVILLE, TN 37919-3304
- **Practice address phone:** (865) 364-1340
- **Mailing address:** 303 S CONCORD ST STE 323, KNOXVILLE, TN 37919-3304
- **Mailing address phone:** (865) 364-1340

## Taxonomy

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

## Other

- **Enumeration date:** 12/19/2024
- **Last updated:** 12/19/2024