| Smilebuilders Inc | |
|
1863 Highway 43 S Ste A Canton MS 39046-8877 | |
| (601) 859-7050 | |
| (601) 859-7062 |
| Full Name | Smilebuilders Inc |
|---|---|
| Speciality | Dentist |
| Location | 1863 Highway 43 S Ste A, Canton, Mississippi |
| Authorized Official Name and Position | Preston L. Cobbins (CEO PRESIDENT) |
| Authorized Official Contact | 6018597050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smilebuilders Inc 1863 Highway 43 S Ste A Canton MS 39046-8877 Ph: (601) 859-7050 | Smilebuilders Inc 1863 Highway 43 S Ste A Canton MS 39046-8877 Ph: (601) 859-7050 |
| NPI Number | 1528270733 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528270733 | NPI | - | NPPES |
| 09016094 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3062-98 (Mississippi) | Primary |
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