Organization
SMILEY TOOTH SPA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE WESLEY SMILEY D.D.S. (OWNER)
(615) 969-2774
Entity
Organization
Contact information
Practice address
500 LENTZ DR STE 70, MADISON, TN 37115-5135
(615) 969-2774
(615) 327-4433
Mailing address
500 LENTZ DR STE 70, MADISON, TN 37115-5135
(615) 969-2774
(615) 327-4433
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS8039
TN
Other
Enumeration date
11/30/2011
Last updated
11/30/2011
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