| Sm Dentistry Inc | |
|
2415 W Park Place Blvd Stone Mountain GA 30087-3566 | |
| (770) 879-1200 | |
| (770) 413-1821 |
| Full Name | Sm Dentistry Inc |
|---|---|
| Speciality | Dentist |
| Location | 2415 W Park Place Blvd, Stone Mountain, Georgia |
| Authorized Official Name and Position | Chin S Park (DENTIST) |
| Authorized Official Contact | 7708791200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sm Dentistry Inc 2415 W Park Place Blvd Stone Mountain GA 30087-3566 Ph: (770) 879-1200 | Sm Dentistry Inc 2415 W Park Place Blvd Stone Mountain GA 30087-3566 Ph: (770) 879-1200 |
| NPI Number | 1124854096 |
|---|---|
| Provider Enumeration Date | 09/09/2024 |
| Last Update Date | 09/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124854096 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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