| Ideal Smile Dentistry Llc | |
|
2979 N Lake Pkwy Ste 100 Columbus GA 31909-2575 | |
| (678) 910-1716 | |
| Not Available |
| Full Name | Ideal Smile Dentistry Llc |
|---|---|
| Speciality | Dentist |
| Location | 2979 N Lake Pkwy Ste 100, Columbus, Georgia |
| Authorized Official Name and Position | Seth Walden (CEO) |
| Authorized Official Contact | 6789101716 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ideal Smile Dentistry Llc 3915 Piedmont Lake Rd Pine Mountain GA 31822-3558 Ph: () - | Ideal Smile Dentistry Llc 2979 N Lake Pkwy Ste 100 Columbus GA 31909-2575 Ph: (678) 910-1716 |
| NPI Number | 1750073615 |
|---|---|
| Provider Enumeration Date | 05/22/2023 |
| Last Update Date | 05/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750073615 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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