Organization
HEALTHY SMILES FAMILY DENTAL CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIFFANY JEAN RILEY DMD (GENERAL DENTIST)
(270) 205-8197
Entity
Organization
Contact information
Practice address
1927 IRVIN COBB DR, SUITE 1, PADUCAH, KY 42003-2105
(270) 442-6617
(270) 442-0089
Mailing address
75 RILEY CIR, CALVERT CITY, KY 42029-7803
(270) 703-8874
(888) 735-8036
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8378
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100006580
—
KY
Enumeration date
06/29/2015
Last updated
06/29/2015
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