Organization
SMILES AND BLESSINGS, INC.
Active
Other names
Smiles and Blessings Mobile
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MCLEMORE DDS (DENTIST)
(731) 424-2651
Entity
Organization
Contact information
Practice address
332 LANE AVE, JCM HIGH SCHOOL, JACKSON, TN 38301-4577
(731) 427-3351
(731) 423-9711
Mailing address
332 LANE AVE, JCM HIGH SCHOOL, JACKSON, TN 38301-4577
(731) 427-3351
(731) 423-9711
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7773
TN
251V00000X
Voluntary or Charitable Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16031
TENNCARE PROVIDER #
TN
01
—
186965
TENNCARE LOCATION
TN
01
—
219134
TENNCARE PAYEE
TN
Enumeration date
05/24/2007
Last updated
03/12/2008
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