SERENITY SMILE CARE, LLC; NPI #1356086276

Contact Information

SERENITY SMILE CARE, LLC

322 N. INDIANA AVE
SELLERSBURG, IN 47172

Phone: 313-204-4775
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Dental	261QD0000X

Indicates primary specialty

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NPI Profile & details for SERENITY SMILE CARE, LLC

NPI Number	`1356086276`
LBN Legal business name	SERENITY SMILE CARE, LLC
Authorized official	JANEICE WOOTEN-KERR - (GENERAL DENTIST/OWNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	05/04/2022
Last updated	05/04/2022 - About 4 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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