ARDENT SMILES LLC NPI 1194533075

NPI Information

  • NPI: 1194533075
  • Provider Name: ARDENT SMILES LLC
  • Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
  • Specialization: Customized Equipment
  • Entity Type: Organization
  • Address: 1380 MILSTEAD AVE NE STE A
    CONYERS, GA
    ZIP 30012
  • Phone: (678) 612-1457

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NPI Details

ARDENT SMILES LLC is a customized equipment durable medical equipment medical supplies in Conyers, GA. ARDENT SMILES LLC NPI is 1194533075. The provider is registered as an organization entity type.

The provider's business location address is:

1380 MILSTEAD AVE NE STE A
CONYERS, GA
ZIP 30012-864
Phone: (678) 612-1457

The provider's authorized official is Brandon Lynch .
The authorized official title is Owner and has the following contact phone number (678) 612-1457.

The enumeration date for this NPI number is 12/23/2024 and was last updated on 12/23/2024.

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
1261QD0000XClinic/CenterDentalNo
2332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentYes

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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