Organization
SMILES BY SAMANTHA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAIGE ZAJAC (OFFICE MANAGER)
(615) 444-7180
Entity
Organization
Contact information
Practice address
727 W MAIN ST, LEBANON, TN 37087-3406
(615) 444-7180
(615) 444-7189
Mailing address
727 W MAIN ST, LEBANON, TN 37087-3406
(615) 444-7180
(615) 444-7189
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/17/2019
Last updated
07/07/2021
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