MODERN SMILES DENTISTRY P.C. NPI 1568947554

NPI Information

NPI: 1568947554
Provider Name: MODERN SMILES DENTISTRY, P.C.
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
2095 HIGHWAY 211 NW STE 6A
BRASELTON, GA
ZIP 30517
Phone: (770) 800-1044
Get Directions

MODERN SMILES DENTISTRY, P.C. is a dental clinic center in Braselton, GA. MODERN SMILES DENTISTRY, P.C. NPI is 1568947554. The provider is registered as an organization entity type.

The provider's business location address is:

2095 HIGHWAY 211 NW STE 6A
BRASELTON, GA
ZIP 30517-403
Phone: (770) 800-1044

The provider's authorized official is Oluyemi Workman .
The authorized official title is Dentist and has the following contact phone number (770) 800-1044.

The enumeration date for this NPI number is 9/26/2018 and was last updated on 6/26/2020.

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
1	332B00000X	Durable Medical Equipment & Medical Supplies				No
2	261QD0000X	Clinic/Center	Dental			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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