SMILES DENTAL LAB INC. NPI 1134251648

NPI Information

  • NPI: 1134251648
  • Provider Name: SMILES DENTAL LAB, INC.
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 6030 HIGHWAY 85 STE 240
    RIVERDALE, GA
    ZIP 30274
  • Phone: (770) 996-5737

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NPI Details

SMILES DENTAL LAB, INC. is a general practice dentist in Riverdale, GA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. SMILES DENTAL LAB, INC. NPI is 1134251648. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6030 HIGHWAY 85 STE 240
RIVERDALE, GA
ZIP 30274-535
Phone: (770) 996-5737
Fax: (770) 996-5916

The provider's authorized official is Kenneth F. Fleet .
The authorized official title is Dentist and has the following contact phone number (770) 996-5737.

The enumeration date for this NPI number is 3/10/2007 and was last updated on 8/22/2020.

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
11223G0001XDentistGeneral Practice9925GEORGIAYes

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: 11/21/2025

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