| Organization Name: | LAVERGNE SMILES, PC |
| NPI Number: | 1578892493 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ARVIND K PATEL (PRESIDENT) |
| Mailing Address: | 5168 Murfreesboro Rd La Vergne |
| State: | TN US |
| Postal Code: | 370862712 |
| Phone Number: | 6157937932 |
| Fax Number: | 6152136301 |
| NPI Enumeration Date: | 12/24/2009 |
| NPI Last Update Date: | 06/02/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | DS4095 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |