Organization
DR. SMILES PLLC A SERIES OF DR. SMILES OF MEMPHIS PLLC A TN SERIES LLC
Active
Other names
DR SMILES - KIRBY PKWY
Organization subpart
No
Provider details
NPI number
Authorized official
MARRIO RHODAN THOMAS DDS (DENTIST/CEO)
(901) 537-0077
Entity
Organization
Contact information
Practice address
6621 KIRBY CENTER CV, MEMPHIS, TN 38115-4313
(901) 537-0077
(901) 537-0088
Mailing address
670 COLONIAL RD STE 6, MEMPHIS, TN 38117-5160
(901) 537-0077
(901) 537-0088
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7671
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1520914
—
TN
Enumeration date
08/22/2018
Last updated
08/22/2018
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