Smiles On Wheels

NPI #1477611234 in Jackson, Michigan

Provider Information

NPI Number: 1477611234
Entity Type: Organization
Organization Name: Smiles On Wheels
Primary Specialty: Dentist
Enumeration Date: Dec 5, 2006
Last Updated: May 22, 2024

Practice Location

Address: 122 HIGHLAND DRIVE
City: Jackson
State: Michigan
ZIP Code: 49201
Phone: (517) 704-2596

Authorized Official

Name: KIM CRABTREE, RDH
Title: EXECUTIVE DIRECTOR
Phone: (517) 740-2596

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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