Organization
SMILES TO GO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH ASHLEY CASEY BSN, MBA, MPH, NHA (OWNER)
(601) 551-2003
Entity
Organization
Contact information
Practice address
214 CLAIBORNE ST, LIBERTY, MS 39645-8179
(601) 551-2003
(601) 657-5889
Mailing address
214 CLAIBORNE ST, LIBERTY, MS 39645-8179
(601) 551-2003
(601) 657-5889
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3412-07
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730387655
—
MS
Enumeration date
12/03/2014
Last updated
01/20/2015
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