Provider Demographics
NPI:1497015036
Name:SMOLINSKI, SAVANNAH GAIL (DDS)
Entity type:Individual
Prefix:DR
First Name:SAVANNAH
Middle Name:GAIL
Last Name:SMOLINSKI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6522 S LOVERS LANE RD
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:WI
Mailing Address - Zip Code:53132-1209
Mailing Address - Country:US
Mailing Address - Phone:414-425-1101
Mailing Address - Fax:
Practice Address - Street 1:6522 S LOVERS LANE RD
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:WI
Practice Address - Zip Code:53132-1209
Practice Address - Country:US
Practice Address - Phone:414-425-1101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-16
Last Update Date:2022-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI6904-15122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist