Organization
SMILE DIRECT CLUB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DAVID BARCLAY DOWLING DDS PC (MANAGING PHYSICIAN)
(800) 397-6247
Entity
Organization
Contact information
Practice address
701 BROADWAY, SUITE 130, NASHVILLE, TN 37203-3944
(800) 397-6247
Mailing address
701 BROADWAY, SUITE 130, NASHVILLE, TN 37203-3944
(800) 397-6247
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
1692
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1528286119
NPI
—
Enumeration date
09/01/2016
Last updated
09/01/2016
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