MARIETTA SMILES LLC NPI 1093146078

NPI Information

NPI: 1093146078
Provider Name: MARIETTA SMILES LLC

Former Legal Business Name: JULIAN H. CAMPBELL CORP

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
175 WHITE ST NW
SUITE 300
MARIETTA, GA
ZIP 30060
Phone: (770) 422-6521
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MARIETTA SMILES LLC is a dental clinic center in Marietta, GA. MARIETTA SMILES LLC NPI is 1093146078. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Julian H. Campbell Corp.

The provider's business location address is:

175 WHITE ST NW
SUITE 300
MARIETTA, GA
ZIP 30060-053
Phone: (770) 422-6521
Fax: (770) 422-6525

The provider's authorized official is James E Carter .
The authorized official title is Owner/president and has the following contact phone number (770) 826-4233.

The enumeration date for this NPI number is 12/2/2013 and was last updated on 12/2/2013.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	DN010102	GEORGIA	No
2	261QD0000X	Clinic/Center	Dental	DN013011	GEORGIA	No
3	261QD0000X	Clinic/Center	Dental	DN010592	GEORGIA	Yes

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: 5/5/2024

NPI Synchronization or Removal

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