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Organization
SMILES FROM US, PLLC
Active
Organization
SMILES FROM US, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN D. STANLEY DMD (DENTIST/VICE PRESIDENT)
(334) 358-6411
Entity
Organization
Contact information
Practice address
2600 BELL RD, MONTGOMERY, AL 36117-4375
(334) 358-6411
(334) 351-0033
Mailing address
2600 BELL RD, MONTGOMERY, AL 36117-4375
(334) 358-6411
(334) 351-0033
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
2865
AL
1223P0221X
Pediatric Dentistry
4869
AL
1223P0221X
Pediatric Dentistry
5053
AL
1223P0221X
Pediatric Dentistry
Primary
5199
AL
1223P0221X
Pediatric Dentistry
5221
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009965115
—
AL
01
—
510-60720
BLUE CROSS BLUE SHIELD OF ALABAMA
AL
01
—
515-19534
BLUE CROSS BLUE SHIELD OF ALABAMA
AL
01
—
515-23249
BLUE CROSS BLUE SHIELD OF ALABAMA
AL
01
—
515-23250
BLUE CROSS BLUE SHIELD OF ALABAMA
AL
01
—
515-23254
BLUE CROSS BLUE SHIELD OF ALABAMA
AL
01
—
515-25362
BLUE CROSS BLUE SHIELD OF ALABAMA
AL
01
—
515-25517
BLUE CROSS BLUE SHIELD OF ALABAMA
AL
01
—
515-28152
BLUE CROSS BLUE SHIELD OF ALABAMA
AL
01
—
515-28153
BLUE CROSS BLUE SHIELD OF ALABAMA
AL
01
—
770948
UNITED CONCORDIA
AL
Enumeration date
05/12/2008
Last updated
10/01/2015
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