Provider Demographics
NPI:1720653850
Name:SMILE PHILOSOPHY DENTAL CARE
Entity type:Organization
Organization Name:SMILE PHILOSOPHY DENTAL CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:DIMES
Authorized Official - Last Name:STENNIS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:901-550-6504
Mailing Address - Street 1:PO BOX 791669
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70179-1669
Mailing Address - Country:US
Mailing Address - Phone:504-304-4981
Mailing Address - Fax:504-605-4997
Practice Address - Street 1:701 N BROAD ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-4206
Practice Address - Country:US
Practice Address - Phone:504-304-4981
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-21
Last Update Date:2021-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental