| Smile Gallery | |
|
205 W High St Suite 104 Lebanon TN 37087-2264 | |
| (615) 444-2069 | |
| (615) 444-3706 |
| Full Name | Smile Gallery |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 205 W High St, Lebanon, Tennessee |
| Authorized Official Name and Position | Chadwick Lee Williams (OWNER/PRESIDENT) |
| Authorized Official Contact | 6154442069 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Gallery 205 W High St Suite 104 Lebanon TN 37087-2264 Ph: (615) 444-2069 | Smile Gallery 205 W High St Suite 104 Lebanon TN 37087-2264 Ph: (615) 444-2069 |
| NPI Number | 1003087958 |
|---|---|
| Provider Enumeration Date | 03/19/2008 |
| Last Update Date | 09/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003087958 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | TN7866 (Tennessee) | Primary |
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