Southern Smile Studio
NPI #1992527287 in Brandon, Mississippi
Provider Information
- NPI Number
- 1992527287
- Entity Type
- Organization
- Organization Name
- Southern Smile Studio
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Oct 28, 2024
- Last Updated
- Oct 31, 2024
Practice Location
- Address
- 6155 HWY 25
- Address 2
- SUITE 1A
- City
- Brandon
- State
- Mississippi
- ZIP Code
- 39047
- Phone
- (769) 241-2141
Authorized Official
- Name
- DR. KELLIE MCADAMS WATTS, DMD
- Title
- DENTIST/OWNER
- Phone
- (601) 594-8607
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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