Southern Smiles Pllc

NPI #1720449572 in Lewisburg, Tennessee

Provider Information

NPI Number: 1720449572
Entity Type: Organization
Organization Name: Southern Smiles Pllc
Primary Specialty: Dentist
Enumeration Date: Mar 8, 2016
Last Updated: Mar 8, 2016

Practice Location

Address: 553 W COMMERCE ST
City: Lewisburg
State: Tennessee
ZIP Code: 37091-3219
Phone: (931) 359-1900

Authorized Official

Name: MISS JEANETTE K TRUELOVE
Title: ADMIN
Phone: (931) 359-1900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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