Organization
SMILE STATION FAMILY DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD SCOTT BRIDGES DMD (MEMBER)
(270) 519-7342
Entity
Organization
Contact information
Practice address
5504 REIDLAND RD, PADUCAH, KY 42003-0955
(270) 408-1234
Mailing address
710 WINDSOR WOODS, PADUCAH, KY 42001-4676
(270) 408-1234
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
7956
KY
261QD0000X
Dental Clinic/Center
Primary
7956
KY
Other
Enumeration date
06/13/2016
Last updated
06/13/2016
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