Organization
SMILE ACADEMY OF KENTUCKY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARRIE A SHUFFITT (MEMBER)
(812) 786-8751
Entity
Organization
Contact information
Practice address
2776 CAMPION ROAD, FLOYDS KNOBS, IN 47119
(812) 786-8751
(812) 399-3149
Mailing address
2776 CAMPION RD, FLOYDS KNOBS, IN 47119-8910
(812) 786-8751
(812) 399-3149
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
—
Other
Enumeration date
11/05/2015
Last updated
11/05/2015
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