Organization
SIMPLY SMILES, INC.
Active
Parent organization
SIMPLY SMILES, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
SIMPLY SMILES, INC.
Authorized official
MR. COLTER COMBELLICK LICSW, CSW - PIP (CLINICAL COORDINATOR)
(203) 810-4041
Entity
Organization
Contact information
Practice address
27249 HWY 212, LA PLANT, SD 57652
(774) 328-1824
Mailing address
1771 POST ROAD EAST, WESTPORT, CT 06880
(203) 810-4041
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/20/2019
Last updated
06/08/2022
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