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Organization

PERFECT SMILES DENTAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. TIYE DUNLAP (OFFICE MANAGER)
(615) 459-0566
Entity
Organization

Contact information

Practice address
1210 HAZELWOOD DR, SUITE A, SMYRNA, TN 37167-3964
(615) 459-0566
(615) 459-0568
Mailing address
1210 HAZELWOOD DR, SUITE A, SMYRNA, TN 37167-3964
(615) 459-0566
(615) 459-0568

Taxonomy

Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
8170TN
TN
305S00000X
Point of Service
8170TN
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5442227
TN
Enumeration date
07/06/2011
Last updated
07/06/2011
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