Organization
SMILE DESIGN CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES GRADY HAWKINS D.M.D. (PRESIDENT/OWNER)
(334) 644-2422
Entity
Organization
Contact information
Practice address
1601 SOUTH GILMER AVE., LANETT, AL 36863-0549
(334) 644-2422
(334) 644-4575
Mailing address
PO BOX 549, 1601 SOUTH GILMER AVE., LANETT, AL 36863-0549
(334) 644-2422
(334) 644-4575
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/17/2009
Last updated
07/17/2009
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