Organization
SIGNATURE SMILES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRISHA R PATEL DMD (OWNER DENTIST)
(601) 540-8789
Entity
Organization
Contact information
Practice address
113 DEES DR STE D, MADISON, MS 39110-5049
(601) 540-8789
Mailing address
113 DEES DR STE D, MADISON, MS 39110-5049
(601) 540-8789
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4000-18
DENTIST
MS
Enumeration date
07/01/2022
Last updated
07/01/2022
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