Ditcharo Smiles, PC
Clinic/Center, Dental in Murfreesboro, TN. Organization (NPI-2).
NPI number1487054136
StatusActive
Last updated in NPPESSep 3, 2014
Details
- NPI
- 1487054136
- Entity type
- Organization (NPI-2)
- Legal business name
- Ditcharo Smiles, PC
- Organization subpart
- No
- Enumeration date
- Sep 1, 2014
- Last updated
- Sep 3, 2014
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | 9105 | TN | Yes |
Practice location
1272 Dow StMurfreesboro, TN 37130-2468
Phone 615-893-9151
Mailing address
1272 Dow StMurfreesboro, TN 37130-2468
Phone 615-893-9151
Authorized official
Anthony Ditcharo
President
6158939151
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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