Provider Demographics
NPI:1073134516
Name:CONFIDENT SMILES & IMPLANTS
Entity Type:Organization
Organization Name:CONFIDENT SMILES & IMPLANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:TORI
Authorized Official - Middle Name:
Authorized Official - Last Name:MARIUSSO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:813-957-4891
Mailing Address - Street 1:12802 KINGSTON PIKE STE 101
Mailing Address - Street 2:
Mailing Address - City:FARRAGUT
Mailing Address - State:TN
Mailing Address - Zip Code:37934-0919
Mailing Address - Country:US
Mailing Address - Phone:865-248-2312
Mailing Address - Fax:
Practice Address - Street 1:12802 KINGSTON PIKE STE 101
Practice Address - Street 2:
Practice Address - City:FARRAGUT
Practice Address - State:TN
Practice Address - Zip Code:37934-0919
Practice Address - Country:US
Practice Address - Phone:865-248-2312
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-06
Last Update Date:2020-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1093235665OtherNPI
TN1679007348OtherNPI 1679007348