| Southern Smiles | |
|
2801 John Hawkins Pkwy Ste 175 Hoover AL 35244-4007 | |
| (205) 988-5858 | |
| (205) 988-5886 |
| Full Name | Southern Smiles |
|---|---|
| Speciality | Dentist |
| Location | 2801 John Hawkins Pkwy Ste 175, Hoover, Alabama |
| Authorized Official Name and Position | Kelly Graves Guthrie (DENTIST) |
| Authorized Official Contact | 2059885858 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Smiles 2801 John Hawkins Pkwy Ste 175 Hoover AL 35244-4007 Ph: (205) 988-5858 | Southern Smiles 2801 John Hawkins Pkwy Ste 175 Hoover AL 35244-4007 Ph: (205) 988-5858 |
| NPI Number | 1013558766 |
|---|---|
| Provider Enumeration Date | 10/03/2019 |
| Last Update Date | 10/03/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013558766 | NPI | - | NPPES |
| 1639579626 | Other | FL | GENERAL |
| 1639579626 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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