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NPI 1730025586

NPI 1730025586 : SMILE CENTER OF COVINGTON PC : COVINGTON, TN

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General NPI Number Information
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    NPI Number           |    1730025586
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    Entity Type          |    Organization 
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    Legal Business Name  |    SMILE CENTER OF COVINGTON PC 
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Dates
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    Enumeration Date     |    04/24/2026
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    Last Update Date     |    04/24/2026
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Provider Practice Location Address
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    Address Line         |    973 HIGHWAY 51 N STE 7 
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    City                 |    COVINGTON
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    State                |    TN
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    Zip                  |    38019-1594
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    Country              |    US
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    Telephone            |    404-543-0008
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    227 SOUTHMILL DR 
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    City                 |    EADS
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    State                |    TN
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    Zip                  |    38028-6969
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    Country              |    US
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    Telephone            |    404-543-0008
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. TRACIE MACHELLE BATTLE 
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    Credential           |    DMD
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    Telephone            |    404-543-0008
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    
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    License Number State |    
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