Organization
WINN SMILES CLEVELAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY WINN DDS (OWNER)
(423) 472-6482
Entity
Organization
Contact information
Practice address
120 23RD ST NW, CLEVELAND, TN 37311-3845
(423) 472-6482
Mailing address
120 23RD ST NW, CLEVELAND, TN 37311-3845
(423) 472-6482
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7761
TN
122300000X
Dentist
8088
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4062753
OUR BCBS PROVIDER ID #
TN
Enumeration date
02/14/2007
Last updated
11/07/2024
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