Provider Demographics
NPI:1497926406
Name:SMILES ARE US DENTAL CENTER, P.C.
Entity Type:Organization
Organization Name:SMILES ARE US DENTAL CENTER, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/C.E.O.
Authorized Official - Prefix:DR
Authorized Official - First Name:FREIDA
Authorized Official - Middle Name:CAROL
Authorized Official - Last Name:GRIMES-MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:901-385-9898
Mailing Address - Street 1:5150 STAGE RD
Mailing Address - Street 2:STE. 100
Mailing Address - City:BARTLETT
Mailing Address - State:TN
Mailing Address - Zip Code:38134-3169
Mailing Address - Country:US
Mailing Address - Phone:901-385-9898
Mailing Address - Fax:901-385-9880
Practice Address - Street 1:5150 STAGE RD
Practice Address - Street 2:STE. 100
Practice Address - City:BARTLETT
Practice Address - State:TN
Practice Address - Zip Code:38134-3169
Practice Address - Country:US
Practice Address - Phone:901-385-9898
Practice Address - Fax:901-385-9880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-18
Last Update Date:2008-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare