Organization
SMILE CENTER ORAL & MAXILLOFACIAL SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY DAVIS (CLAIMS ADMINISTRATOR)
(229) 241-1010
Entity
Organization
Contact information
Practice address
700 WILDWOOD PLANTATION DR, VALDOSTA, GA 31602-3606
(229) 241-1010
(507) 428-6342
Mailing address
700 WILDWOOD PLANTATION DR, VALDOSTA, GA 31602-3606
(229) 241-1010
(507) 428-6342
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
—
—
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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