| Lifesmiles Of College Park | |
|
1177 Garden Walk Blvd College Park GA 30349-6245 | |
| (770) 997-9090 | |
| (770) 997-1387 |
| Full Name | Lifesmiles Of College Park |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1177 Garden Walk Blvd, College Park, Georgia |
| Authorized Official Name and Position | Dharmesh Parbhoo (OWNER) |
| Authorized Official Contact | 7709979090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifesmiles Of College Park 1177 Garden Walk Blvd College Park GA 30349-6245 Ph: (770) 997-9090 | Lifesmiles Of College Park 1177 Garden Walk Blvd College Park GA 30349-6245 Ph: (770) 997-9090 |
| NPI Number | 1912188848 |
|---|---|
| Provider Enumeration Date | 11/20/2007 |
| Last Update Date | 11/20/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912188848 | NPI | - | NPPES |
| 000905583D | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | GA011258 (Georgia) | Primary |
Paul Ivey Nettles Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1177 Garden Walk Blvd, College Park, GA 30349 Phone: 770-997-9090 | |
Riley R Swanson Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2090 Godby Rd, College Park, GA 30349 Phone: 770-991-0212 Fax: 770-997-4854 | |
Centers For Pediatric Dental Sedation Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1631 Phoenix Blvd Ste 8, College Park, GA 30349 Phone: 678-545-1682 Fax: 678-519-0701 | |
Ashford Dental Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2177 Godby Rd, Suite D, College Park, GA 30349 Phone: 404-763-3326 Fax: 404-763-3073 | |
Centers For Pediatric Dental Sedation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1571 Phoenix Blvd Ste 8, College Park, GA 30349 Phone: 844-682-4737 Fax: 404-521-4044 | |
Jerry E Nutt Dds & Assoc Of College Park Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1571 Phoenix Blvd, College Park, GA 30349 Phone: 770-996-7700 | |
Vivid Smile Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1177 Garden Walk Blvd, College Park, GA 30349 Phone: 770-997-9090 |