National Provider Identifier Database

SERENITY SMILE CARE LLC
Dental


Contact Information

SERENITY SMILE CARE, LLC
322 N. INDIANA AVE
SELLERSBURG, IN47172
Phone: 313-204-4775
Fax:
Website:
Specialty Taxonomy Code
* Dental 261QD0000X

* Indicates primary specialty

NPI Profile & details for SERENITY SMILE CARE, LLC

NPI Number 1356086276
Legal business name
LBN
SERENITY SMILE CARE, LLC
Authorized official JANEICE WOOTEN-KERR - (GENERAL DENTIST/OWNER)
Entity Organization
Organization subpart No
Enumeration date 05/04/2022
Last updated 05/04/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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