# SMILES ONEONTA

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

## Provider details

- **NPI number:** 1992972368
- **Authorized official:** DR. JOELY MARIM-EBERHARDT DMD, MS (PEDIATRIC DENTIST)
- **Authorized official phone:** (205) 274-2414

## Contact information

- **Practice address:** 27550 STATE HIGHWAY 75 STE 104, ONEONTA, AL 35121-3204
- **Practice address phone:** (205) 274-2414
- **Mailing address:** 27550 STATE HIGHWAY 75 STE 104, ONEONTA, AL 35121-3204
- **Mailing address phone:** (205) 274-2414

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | 5343 | AL | Yes |

## Other

- **Enumeration date:** 05/14/2008
- **Last updated:** 05/14/2008