Organization
SMALL SMILES DENTISTRY FOR CHILDREN, SANTA FE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENELL STRINGER (MANAGER, LICENSING & CREDENTIALING)
(615) 750-0343
Entity
Organization
Contact information
Practice address
2008 SAINT MICHAELS DR, #B, SANTA FE, NM 87505-7682
(505) 474-4993
(505) 474-4973
Mailing address
16 ARCADE UNIT 198747, NASHVILLE, TN 37219-1994
(615) 750-0343
(615) 986-1705
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1771973
UNITED CONCORDIA
—
05
—
B5017
—
NM
Enumeration date
11/21/2006
Last updated
06/11/2013
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