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SMILE MAGIC NPI 1700126398


NPI Information

NPI: 1700126398
Provider Name: SMILE MAGIC
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
2880 OLD ALABAMA RD
SUITE 400
ALPHARETTA, GA
ZIP 30022
Phone: (770) 480-3751
Get Directions

SMILE MAGIC is a pediatric dentistry dentist in Alpharetta, GA. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. SMILE MAGIC NPI is 1700126398. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2880 OLD ALABAMA RD
SUITE 400
ALPHARETTA, GA
ZIP 30022-051
Phone: (770) 480-3751

The provider's authorized official is Deanna Maguire .
The authorized official title is Office Manager and has the following contact phone number (770) 480-3751.

The enumeration date for this NPI number is 2/19/2013 and was last updated on 2/19/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0221XDentistPediatric DentistryDN012444GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1DN012444OTHERGEORGIAGEORGIA STATE DENTAL LICENSE
2DN012634OTHERGEORGIAGEORGIA STATE DENTAL LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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