| Smile Designers LLC | |
|
1709 W 20th St Laurel MS 39440-1802 | |
| (601) 649-4854 | |
| (601) 651-6439 |
| Full Name | Smile Designers LLC |
|---|---|
| Speciality | Dentist |
| Location | 1709 W 20th St, Laurel, Mississippi |
| Authorized Official Name and Position | Keisha Denyel Quinn (PRESUDENT) |
| Authorized Official Contact | 6016494854 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Designers LLC 1709 W 20th St Laurel MS 39440-1802 Ph: (601) 649-4854 | Smile Designers LLC 1709 W 20th St Laurel MS 39440-1802 Ph: (601) 649-4854 |
| NPI Number | 1578900718 |
|---|---|
| Provider Enumeration Date | 05/29/2013 |
| Last Update Date | 05/29/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578900718 | NPI | - | NPPES |
| 02303099 | Medicaid | MS | |
| 00060078 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 256990 (Mississippi) | Primary |
Edward Brown Specialty Partners of Mississippi, PLLC Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 927 N 15th Ave, Laurel, MS 39440 Phone: 601-215-2021 |
Family Dental Center of Laurel Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1532 W 15th St, Laurel, MS 39440 Phone: 601-428-0082 |
Smile Country Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3228 Old Bay Springs Rd, Laurel, MS 39440 Phone: 601-215-2021 |
Family Dental Center of Laurel, P.A. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1532 W 15th St, Laurel, MS 39440 Phone: 601-428-0082 |
Cronin Family Dentistry of Laurel, PLLC Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3228 Old Bay Springs Rd, Laurel, MS 39440 Phone: 601-450-5550 Fax: 601-450-5551 |
Robert L. Donald, Jr., D.D.S. PLLC Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3228 Old Bay Springs Rd, Laurel, MS 39440 Phone: 301-649-2222 Fax: 601-649-0255 |