| The Smile Spa | |
|
8110 Cordova Rd Suite 125 Cordova TN 38016-0520 | |
| (901) 755-0001 | |
| (901) 755-9679 |
| Full Name | The Smile Spa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8110 Cordova Rd, Cordova, Tennessee |
| Authorized Official Name and Position | Andrea M Henry (DOCTOR) |
| Authorized Official Contact | 9017550001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Smile Spa 8110 Cordova Rd Suite 125 Cordova TN 38016-0520 Ph: (901) 755-0001 | The Smile Spa 8110 Cordova Rd Suite 125 Cordova TN 38016-0520 Ph: (901) 755-0001 |
| NPI Number | 1487941860 |
|---|---|
| Provider Enumeration Date | 07/06/2011 |
| Last Update Date | 07/06/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487941860 | NPI | - | NPPES |
| 1520260 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7481 (Tennessee) | Primary |
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