Organization
SMILLIE DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH SMILLIE DMD (OWNER/DENTIST)
(321) 446-9037
Entity
Organization
Contact information
Practice address
5537 S WILLIAMSON BLVD STE 675, PORT ORANGE, FL 32128-8314
(386) 317-4754
Mailing address
5537 S WILLIAMSON BLVD STE 675, PORT ORANGE, FL 32128-8314
(386) 317-4754
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/30/2020
Last updated
10/30/2020
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