| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 6650 Hwy 85, Riverdale, Georgia |
| Authorized Official Name and Position | Nimish M Patez (PRESIDENT) |
| Authorized Official Contact | 7709976222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
6650 Hwy 85 Riverdale GA 30274 Ph: (770) 997-6222 | 6650 Hwy 85 Riverdale GA 30274 Ph: (770) 997-6222 |
| NPI Number | 1164530663 |
|---|---|
| Provider Enumeration Date | 08/26/2006 |
| Last Update Date | 04/30/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164530663 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 11297 (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 | |