MARIETTA SMILE GALLERY NPI 1538641162

NPI Information

NPI: 1538641162
Provider Name: MARIETTA SMILE GALLERY
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
3535 ROSWELL RD STE 3
MARIETTA, GA
ZIP 30062
Phone: (770) 627-5598
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MARIETTA SMILE GALLERY is a dental clinic center in Marietta, GA. MARIETTA SMILE GALLERY NPI is 1538641162. The provider is registered as an organization entity type.

The provider's business location address is:

3535 ROSWELL RD STE 3
MARIETTA, GA
ZIP 30062-827
Phone: (770) 627-5598

The provider's authorized official is Michael Thomas .
The authorized official title is Owner and has the following contact phone number (706) 466-1796.

The enumeration date for this NPI number is 8/30/2018 and was last updated on 8/30/2018.

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	DN014649	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: 4/28/2024

NPI Synchronization or Removal

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