| Ardent Smiles Llc | |
|
1380 Milstead Ave Ne Ste A Conyers GA 30012-3864 | |
| (678) 612-1457 | |
| Not Available |
| Full Name | Ardent Smiles Llc |
|---|---|
| Speciality | Durable Medical Equipment & Medical Supplies - Customized Equipment |
| Location | 1380 Milstead Ave Ne Ste A, Conyers, Georgia |
| Authorized Official Name and Position | Brandon Lynch (OWNER) |
| Authorized Official Contact | 6786121457 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ardent Smiles Llc 1380 Milstead Ave Ne Ste A Conyers GA 30012-3864 Ph: (678) 612-1457 | Ardent Smiles Llc 1380 Milstead Ave Ne Ste A Conyers GA 30012-3864 Ph: (678) 612-1457 |
| NPI Number | 1194533075 |
|---|---|
| Provider Enumeration Date | 12/23/2024 |
| Last Update Date | 12/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194533075 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Primary |
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