# SMILES FROM US, PLLC

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

## Provider details

- **NPI number:** 1881861631
- **Authorized official:** JOHN D. STANLEY DMD (DENTIST/VICE PRESIDENT)
- **Authorized official phone:** (334) 358-6411

## Contact information

- **Practice address:** 2600 BELL RD, MONTGOMERY, AL 36117-4375
- **Practice address phone:** (334) 358-6411
- **Practice address fax:** (334) 351-0033
- **Mailing address:** 2600 BELL RD, MONTGOMERY, AL 36117-4375
- **Mailing address phone:** (334) 358-6411
- **Mailing address fax:** (334) 351-0033

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | 2865 | AL | — |
| 1223P0221X | Pediatric Dentistry | 4869 | AL | — |
| 1223P0221X | Pediatric Dentistry | 5053 | AL | — |
| 1223P0221X | Pediatric Dentistry | 5199 | AL | Yes |
| 1223P0221X | Pediatric Dentistry | 5221 | AL | — |

## Other

- **Enumeration date:** 05/12/2008
- **Last updated:** 10/01/2015

## 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 |