Provider Demographics
NPI:1154615722
Name:SMILE SOLUTIONS BY DR. JOSEPH FOX
Entity type:Organization
Organization Name:SMILE SOLUTIONS BY DR. JOSEPH FOX
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:A
Authorized Official - Last Name:FOX
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:615-859-3700
Mailing Address - Street 1:3050 BUSINESS PARK CIR
Mailing Address - Street 2:SUITE 202
Mailing Address - City:GOODLETTSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37072-3548
Mailing Address - Country:US
Mailing Address - Phone:615-859-3700
Mailing Address - Fax:615-859-6222
Practice Address - Street 1:3050 BUSINESS PARK CIR
Practice Address - Street 2:SUITE 202
Practice Address - City:GOODLETTSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37072-3548
Practice Address - Country:US
Practice Address - Phone:615-859-3700
Practice Address - Fax:615-859-6222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-01
Last Update Date:2011-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS50231223G0001X
TNDS78411223P0300X
TN91391223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No1223P0300XDental ProvidersDentistPeriodonticsGroup - Multi-Specialty
No1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Multi-Specialty