Southern Smiles Dentistry Cumming Pc | |
1475 Peachtree Pkwy Ste C3 Cumming GA 30041-9793 | |
(470) 253-1747 | |
Not Available |
Full Name | Southern Smiles Dentistry Cumming Pc |
---|---|
Speciality | Clinic/center - Dental |
Location | 1475 Peachtree Pkwy Ste C3, Cumming, Georgia |
Authorized Official Name and Position | Samuel Richter (OFFICE MANAGER) |
Authorized Official Contact | 4702531747 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Southern Smiles Dentistry Cumming Pc 1475 Peachtree Pkwy Ste C3 Cumming GA 30041-9793 Ph: (470) 253-1747 | Southern Smiles Dentistry Cumming Pc 1475 Peachtree Pkwy Ste C3 Cumming GA 30041-9793 Ph: (470) 253-1747 |
NPI Number | 1265002703 |
---|---|
Provider Enumeration Date | 06/28/2021 |
Last Update Date | 06/28/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265002703 | NPI | - | NPPES |
1225310592 | Other | GA | PPO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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