| Southeast Mobile Smiles | |
|
842 Brookshire Blvd Maryville TN 37803-6475 | |
| (865) 441-2527 | |
| Not Available |
| Full Name | Southeast Mobile Smiles |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 842 Brookshire Blvd, Maryville, Tennessee |
| Authorized Official Name and Position | Callie Michele Fishel (DENTAL HYGIENIST) |
| Authorized Official Contact | 8654412527 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeast Mobile Smiles 842 Brookshire Blvd Maryville TN 37803-6475 Ph: (865) 441-2527 | Southeast Mobile Smiles 842 Brookshire Blvd Maryville TN 37803-6475 Ph: (865) 441-2527 |
| NPI Number | 1427569664 |
|---|---|
| Provider Enumeration Date | 10/16/2017 |
| Last Update Date | 10/16/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427569664 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | DS9854 (Tennessee) | Primary |
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