Organization
SUPERIOR SMILES, LLC
Active
Other names
Superior Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
JASON A COATS DMD (DENTIST)
(662) 418-2138
Entity
Organization
Contact information
Practice address
16690 E MAIN ST, LOUISVILLE, MS 39339-2750
(662) 418-0459
Mailing address
100 BROOK AVE, STARKVILLE, MS 39759-4314
(662) 418-0459
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/17/2020
Last updated
07/17/2020
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