| Smart Smiles Orthodontics | |
|
3201 E Olive Rd Ste A Pensacola FL 32514-7237 | |
| (850) 988-9001 | |
| (850) 988-9002 |
| Full Name | Smart Smiles Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 3201 E Olive Rd Ste A, Pensacola, Florida |
| Authorized Official Name and Position | John Edwin Witcher (DOCTOR/OWNER) |
| Authorized Official Contact | 8509889001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smart Smiles Orthodontics 3201 E Olive Rd Ste A Pensacola FL 32514-7237 Ph: (850) 988-9001 | Smart Smiles Orthodontics 3201 E Olive Rd Ste A Pensacola FL 32514-7237 Ph: (850) 988-9001 |
| NPI Number | 1326734278 |
|---|---|
| Provider Enumeration Date | 04/13/2023 |
| Last Update Date | 04/13/2023 |
| Certification Date | 04/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326734278 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (NU) | Primary |
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