Smith Dental Care Of Athens INC.
Clinic/Center, Dental in Athens, GA. Organization (NPI-2).
NPI number1982172433
StatusActive
Last updated in NPPESJun 11, 2019
Details
- NPI
- 1982172433
- Entity type
- Organization (NPI-2)
- Legal business name
- Smith Dental Care Of Athens INC.
- Organization subpart
- No
- Enumeration date
- Nov 2, 2018
- Last updated
- Jun 11, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Other names
- Smith Dental Care Of Athens INC. (Doing Business As)
Practice location
801 Us Highway 29 NorthAthens, GA 30601
Phone 706-389-1301
Mailing address
259 Athens StHartwell, GA 30643-1854
Phone 706-376-2345
Authorized official
Charles M Smith
Owner
7063891301
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