Great Smile Dental

NPI 1457499642 - Dentist - 1223G0001X

NPI Details
NPI 1457499642
Enumeration Date 02/01/2007
Last Updated 03/29/2010
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name SUPRITI SUPRITI
Position CEO
Phone (770) 565-1010
Fax (770) 565-1037
Practice Location
2145 ROSWELL RD
STE 120
MARIETTA GA, 30062-0821, US
Phone (770) 565-1010
Fax (770) 565-1037
Business Location
2145 ROSWELL RD
STE 120
MARIETTA GA, 30062-0821, US
Phone (770) 565-1010
Fax (770) 565-1037
Toxanomy
Taxonomy Code 1223G0001X
License State Georgia
License Number 011733
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According to our database, Great Smile Dental NPI is 1457499642, taxonomy code is 1223G0001X and license number is 011733, license state is located at Georgia. Great Smile Dental physically located at 2145 Roswell Rd, Marietta GA, 30062-0821. NPI Number 1033115704 has the healthcare provider type.

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1457499642 NPI number is provided on an as is basis without warranty of any kind. 1457499642 is maintained by the National Plan & Provider Enumeration System. The contents of Great Smile Dental are for informational purposes only.