Provider Demographics
NPI:1154748341
Name:ALL SMILES & WELLNESS FAMILY DENTISTRY,PC
Entity type:Organization
Organization Name:ALL SMILES & WELLNESS FAMILY DENTISTRY,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:S
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:901-332-8080
Mailing Address - Street 1:4520 ELVIS PRESLEY BLVD
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38116-7108
Mailing Address - Country:US
Mailing Address - Phone:901-332-8080
Mailing Address - Fax:901-332-8081
Practice Address - Street 1:4520 ELVIS PRESLEY BLVD
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38116-7108
Practice Address - Country:US
Practice Address - Phone:901-332-8080
Practice Address - Fax:901-332-8081
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-25
Last Update Date:2014-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN8907261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental