Organization
R WESLEY LAUDERBACK DDS PLLC
Active
Other names
SmilesDentist
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD W LAUDERBACK DDS (OWNER/DENTIST)
(423) 741-0120
Entity
Organization
Contact information
Practice address
222 HEADTOWN RD, JONESBOROUGH, TN 37659-5073
(423) 753-9191
Mailing address
222 HEADTOWN RD, JONESBOROUGH, TN 37659-5073
(423) 741-0120
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/18/2022
Last updated
04/18/2022
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