Mcminnville Smiles, Pllc

NPI #1609392075 in Mcminnville, Tennessee

Provider Information

NPI Number
1609392075
Entity Type
Organization
Organization Name
Mcminnville Smiles, Pllc
Primary Specialty
Dentist
Enumeration Date
Aug 17, 2017
Last Updated
Aug 17, 2017

Practice Location

Address
100 MORRISON ST
ZIP Code
37110-2420
Phone
(931) 473-8506

Authorized Official

Name
CHARLIE DALLAS MANNING IV, DDS
Title
SOLE OWNER
Phone
(931) 728-4143

Specialties & Taxonomy Codes

Specialty
Dentist

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