Organization
SOUTHERN SMILE STUDIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLIE MCADAMS WATTS DMD (DENTIST/OWNER)
(601) 594-8607
Entity
Organization
Contact information
Practice address
6155 HWY 25, SUITE 1A, BRANDON, MS 39047
(769) 241-2141
Mailing address
121 ANCHOR LANE, BRANDON, MS 39047
(601) 594-8607
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/28/2024
Last updated
10/31/2024
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