| Designer Smiles Dental Studio, P.c. | |
|
11123 Chantilly Pkwy Ct Suite I Pike Road AL 36064-2880 | |
| (334) 270-7751 | |
| (334) 270-7741 |
| Full Name | Designer Smiles Dental Studio, P.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 11123 Chantilly Pkwy Ct, Pike Road, Alabama |
| Authorized Official Name and Position | Jennifer Billingsley Richardson (DR.) |
| Authorized Official Contact | 3342707751 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Designer Smiles Dental Studio, P.c. 11123 Chantilly Pkwy Ct Suite I Pike Road AL 36064-2880 Ph: (334) 270-7751 | Designer Smiles Dental Studio, P.c. 11123 Chantilly Pkwy Ct Suite I Pike Road AL 36064-2880 Ph: (334) 270-7751 |
| NPI Number | 1376833947 |
|---|---|
| Provider Enumeration Date | 04/15/2011 |
| Last Update Date | 04/15/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376833947 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 5586 (Alabama) | Primary |
Pike Road Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 31 Bridge St, Pike Road, AL 36064 Phone: 334-819-7377 Fax: 334-819-7379 |