Smile Center Two LLC

Organization Active NPI General Practice Dentistry · Huntingburg, IN

NPI 1013629583 · NPPES record last updated Aug 11, 2023

Key facts

NPI
1013629583
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
SMILE CENTER TWO LLC
Practice address
7120 S US Highway 231
Huntingburg, IN 47542-9319
Phone
(812) 683-2431
NPI assigned
Dec 15, 2022
Organization subpart
No

Authorized official

Name
Zakari Taylor, DMD NPI 1144601568
Title
Dentist/Owner
Phone
(270) 293-1683

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

7120 S US Highway 231
Huntingburg, IN 47542
Phone (812) 683-2431

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X Yes
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

7120 S US Highway 231
Huntingburg, IN 47542-9319

Mailing address

PO Box 143
Huntingburg, IN 47542-0143
Phone (812) 683-2431

Other providers in Huntingburg, IN

All providers in Huntingburg, IN · General Practice Dentistry in Indiana

Sources for this page

Verify at the official NPI Registry.