Dr. Smiles PLLC a Series of Dr. Smiles of Memphis PLLC a TN Series LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7671 Issued in TN

Legal business name

DR. SMILES PLLC A SERIES OF DR. SMILES OF MEMPHIS PLLC A TN SERIES LLC

Practice address

6621 Kirby Center CV
Memphis, TN 38115-4313

Phone

(901) 537-0077

Fax

(901) 537-0088

NPI assigned

Aug 22, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Marrio Rhodan Thomas, DDSNPI 1477569192

Title

Dentist/Ceo

Phone

(901) 537-0077

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• DR SMILES - KIRBY PKWY Doing business as

Practitioners 1

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

• Marrio Rhodan Thomas, DDS

  • Dentist
  • Memphis, TN
  • NPI 1477569192
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1534896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534896000000",
    "number": "1689155202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 COLONIAL RD STE 6",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381175160",
            "telephone_number": "901-537-0077",
            "fax_number": "901-537-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6621 KIRBY CENTER CV",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381154313",
            "telephone_number": "901-537-0077",
            "fax_number": "901-537-0088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6621 Kirby Center Cv",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381154313",
            "country_code": "US",
            "telephone_number": "901-537-0077",
            "fax_number": "901-537-0088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR. SMILES PLLC A SERIES OF DR. SMILES OF MEMPHIS PLLC A TN SERIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-22",
        "last_updated": "2018-08-22",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "MARRIO",
        "authorized_official_middle_name": "RHODAN",
        "authorized_official_title_or_position": "DENTIST/CEO",
        "authorized_official_telephone_number": "901-537-0077",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "7671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1520914",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DR SMILES - KIRBY PKWY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Memphis, TN
• Providers in Memphis, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.