| Small Smiles Of Atlanta, Inc | |
|
3050 Martin Luther King Jr Dr Sw Atlanta GA 30311-1500 | |
| (404) 696-3163 | |
| (404) 696-3165 |
| Full Name | Small Smiles Of Atlanta, Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3050 Martin Luther King Jr Dr Sw, Atlanta, Georgia |
| Authorized Official Name and Position | Jenell Stringer (MANAGER, LICENSING & CREDENTIALING) |
| Authorized Official Contact | 6157500343 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Small Smiles Of Atlanta, Inc 16 Arcade Unit 198747 Nashville TN 37219-1994 Ph: (615) 750-0343 | Small Smiles Of Atlanta, Inc 3050 Martin Luther King Jr Dr Sw Atlanta GA 30311-1500 Ph: (404) 696-3163 |
| NPI Number | 1497720007 |
|---|---|
| Provider Enumeration Date | 02/18/2006 |
| Last Update Date | 06/03/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497720007 | NPI | - | NPPES |
| 303492116A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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