# SMILECREATOR OF ALABAMA LLC

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

## Provider details

- **NPI number:** 1952099111
- **Authorized official:** NILO HERNANDEZ DDS (DOCTOR/AUTHORIZED OFFICIAL)
- **Authorized official phone:** (256) 373-8333

## Contact information

- **Practice address:** 191 HERREN CAMP RD, DADEVILLE, AL 36853-6719
- **Practice address phone:** (256) 373-8333
- **Mailing address:** 191 HERREN CAMP RD, DADEVILLE, AL 36853-6719

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |
| 261QD0000X | Dental Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 04/26/2023
- **Last updated:** 04/26/2023