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ZALE SMILACK DDS PC NPI 1881668762


NPI Information

NPI: 1881668762
Provider Name: ZALE SMILACK DDS PC
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
1150 HAMMOND DR
STE C-3150
ATLANTA, GA
ZIP 30328
Phone: (770) 396-1232
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ZALE SMILACK DDS PC is an oral and maxillofacial surgery dentist in Atlanta, GA. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. ZALE SMILACK DDS PC NPI is 1881668762. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1150 HAMMOND DR
STE C-3150
ATLANTA, GA
ZIP 30328-120
Phone: (770) 396-1232
Fax: (770) 393-4136

The provider's authorized official is Zale Harlan Smilack .
The authorized official title is Pres and has the following contact phone number (770) 396-1232.

The enumeration date for this NPI number is 2/15/2006 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial Surgery6913GEORGIAYes

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

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