Whalio Doctors

NPI 1396032777

Perfect Smiles Dental Center

Organisation Preferred Provider Organization Smyrna, TN

Practice location

Address
1210 Hazelwood Dr Suite a, Smyrna, TN 37167-3964
Phone
(615) 459-0566
Fax
(615) 459-0568

Authorised official

Name
Tiye Dunlap
Title
Office Manager
Phone
(615) 459-0566

Registered specialties (2)

Preferred Provider Organization Primary
Managed Care Organizations Taxonomy 305R00000X Licence 8170TN (TN)
Point of Service
Managed Care Organizations Taxonomy 305S00000X Licence 8170TN (TN)

Registry record

NPI
1396032777
Entity type
Organization
NPI issued
6 Jul 2011
Record last updated
6 Jul 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.