Organization
SMILE CENTER DRE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES WHITE (CEO)
(859) 533-1109
Entity
Organization
Contact information
Practice address
1485 OLD LEBANON RD, CAMPBELLSVILLE, KY 42718-3356
(270) 789-2155
Mailing address
105 SPRUCE ST, LEXINGTON, KY 40507-2109
(859) 533-1109
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/27/2022
Last updated
09/27/2022
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