| Organization Name: | DESIGNER SMILES DENTAL STUDIO, P.C. |
| NPI Number: | 1376833947 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JENNIFER BILLINGSLEY RICHARDSON (DR.) |
| Mailing Address: | 11123 Chantilly Pkwy Ct Suite I Pike Road |
| State: | AL US |
| Postal Code: | 360642880 |
| Phone Number: | 3342707751 |
| Fax Number: | 3342707741 |
| NPI Enumeration Date: | 04/15/2011 |
| NPI Last Update Date: | 04/15/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | 5586 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |