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Organization

SMARTSMILE ORTHODONTICS, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ERIN BRITTON MONTGOMERY DMD, MSD (DOCTOR)
(601) 853-1307
Entity
Organization

Contact information

Practice address
7724 OLD CANTON RD, MADISON, MS 39110-9299
(601) 853-1307
(601) 853-9872
Mailing address
7724 OLD CANTON RD, MADISON, MS 39110-9299
(601) 853-1307
(601) 853-9872

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3388-06
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
06455258
MS
Enumeration date
12/28/2009
Last updated
11/24/2014
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