| Smiles To Go, Llc | |
|
214 Claiborne St Liberty MS 39645-8179 | |
| (601) 551-2003 | |
| (601) 657-5889 |
| Full Name | Smiles To Go, Llc |
|---|---|
| Speciality | Dentist |
| Location | 214 Claiborne St, Liberty, Mississippi |
| Authorized Official Name and Position | Sarah Ashley Casey (OWNER) |
| Authorized Official Contact | 6015512003 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smiles To Go, Llc 214 Claiborne St Liberty MS 39645-8179 Ph: (601) 551-2003 | Smiles To Go, Llc 214 Claiborne St Liberty MS 39645-8179 Ph: (601) 551-2003 |
| NPI Number | 1043617277 |
|---|---|
| Provider Enumeration Date | 12/03/2014 |
| Last Update Date | 01/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043617277 | NPI | - | NPPES |
| 1730387655 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3412-07 (Mississippi) | Primary |
Alpha And Omega Dentistry, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1620 E Main St, Liberty, MS 39645 Phone: 601-551-2003 Fax: 601-657-5936 | |
Lee D. Casey D.m.d., Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 162 S Broad St, Liberty, MS 39645 Phone: 601-657-5877 |