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7218 Highway 85 Riverdale GA 30274-2908 | |
| (404) 593-3404 | |
| (404) 228-9673 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 7218 Highway 85, Riverdale, Georgia |
| Authorized Official Name and Position | Francine Weatherspoon Dixon (CEO) |
| Authorized Official Contact | 8652562638 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
7218 Highway 85 Riverdale GA 30274-2908 Ph: (404) 593-3404 | 7218 Highway 85 Riverdale GA 30274-2908 Ph: (404) 593-3404 |
| NPI Number | 1528422524 |
|---|---|
| Provider Enumeration Date | 04/06/2016 |
| Last Update Date | 05/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528422524 | NPI | - | NPPES |
| 003180284A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 14566GA (Georgia) | Primary |
Smiles Dental Lab, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6030 Highway 85 Ste 240, Riverdale, GA 30274 Phone: 770-996-5737 Fax: 770-996-5916 | |
Daniel Redie General Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1849 Highway 138 Sw, Riverdale, GA 30296 Phone: 770-996-5850 | |