Montgomery Smiles Youth Dentistry, PC
NPI #1740351758 in Montgomery, Alabama
Provider Information
- NPI Number
- 1740351758
- Entity Type
- Organization
- Organization Name
- Montgomery Smiles Youth Dentistry, PC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 13, 2006
- Last Updated
- Jul 9, 2014
Practice Location
- Address
- 3439 MCGEHEE RD
- Address 2
- SUITE B
- City
- Montgomery
- State
- Alabama
- ZIP Code
- 36111-3392
- Phone
- (334) 228-1868
Authorized Official
- Name
- MRS. JENELL STUMP
- Title
- MANAGER, LICENSING & CREDENTIALING
- Phone
- (615) 750-0343
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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