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NPI Code Detail

MEDICARE: AFFORDABLE DENTURES & IMPLANTS - SMYRNA, P.C.

MEDICARE: AFFORDABLE DENTURES & IMPLANTS - SMYRNA, P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry

General Provider Information

NPI Number : 1407551872
Entity Type Code : Organization
Provider Name (Legal Business Name) : AFFORDABLE DENTURES & IMPLANTS - SMYRNA, P.C.
Provider Business Mailing Address
First Line : 111 MOVIE ROW
Second Line :
City : SMYRNA
State : TN
Zip : 37167-6532
Country : US
Telephone Number : 615-610-3680
Fax Number :
Provider Business Practice Location Address
First Line : 111 MOVIE ROW
Second Line :
City : SMYRNA
State : TN
Zip : 37167-6532
Country : US
Telephone Number : 615-610-3680
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MALCOLM SHEALER
Credential : DDS
Telephone Number : 615-610-3680
Provider Enumeration Date : 04/04/2023
Last Update Date : 04/04/2023

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Directions to “AFFORDABLE DENTURES & IMPLANTS - SMYRNA, P.C. ” Practice Location

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