# SMILES R US DENTAL CARE

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

## Provider details

- **NPI number:** 1982734596
- **Authorized official:** DR. ANITA JO PARKS D.D.S. (DENTIST)
- **Authorized official phone:** (731) 658-6112

## Contact information

- **Practice address:** 407 W LAFAYETTE ST, BOLIVAR, TN 38008-2651
- **Practice address phone:** (731) 658-6112
- **Practice address fax:** (731) 658-6059
- **Mailing address:** 407 W LAFAYETTE ST, BOLIVAR, TN 38008-2651
- **Mailing address phone:** (731) 658-6112
- **Mailing address fax:** (731) 658-6059

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 7263 | TN | Yes |

## Other

- **Enumeration date:** 03/06/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 160348 | DELTA DENTAL | TN |
| 05 | — | 16438 | — | TN |
| 01 | — | 1764104 | UNITED CONCORDIA | PA |
| 01 | — | 4108150 | BLUE CROSS BLUE SHIELD | TN |