Provider Demographics
NPI:1316221682
Name:SMILES FAMILY DENTAL CARE, PLC
Entity Type:Organization
Organization Name:SMILES FAMILY DENTAL CARE, PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:KATHLEEN
Authorized Official - Last Name:BRANHAM-WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:918-542-7645
Mailing Address - Street 1:10950 S 500 RD
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:OK
Mailing Address - Zip Code:74354-6002
Mailing Address - Country:US
Mailing Address - Phone:918-542-7645
Mailing Address - Fax:
Practice Address - Street 1:828 A ST NW
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:OK
Practice Address - Zip Code:74354-4605
Practice Address - Country:US
Practice Address - Phone:918-542-7645
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-05
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty