| Smile Again Family And Cosmetic Dentistry | |
|
4317 Abbotts Bridge Rd Suite 4 Duluth GA 30097-2141 | |
| (770) 814-2212 | |
| (888) 909-5893 |
| Full Name | Smile Again Family And Cosmetic Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 4317 Abbotts Bridge Rd, Duluth, Georgia |
| Authorized Official Name and Position | Xin Wei (DDS) |
| Authorized Official Contact | 7708142212 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Again Family And Cosmetic Dentistry 4317 Abbotts Bridge Rd Suite 4 Duluth GA 30097-2141 Ph: (770) 814-2212 | Smile Again Family And Cosmetic Dentistry 4317 Abbotts Bridge Rd Suite 4 Duluth GA 30097-2141 Ph: (770) 814-2212 |
| NPI Number | 1114310349 |
|---|---|
| Provider Enumeration Date | 03/12/2015 |
| Last Update Date | 03/12/2015 |
| Medicare PECOS PAC ID | 5496057333 |
|---|---|
| Medicare Enrollment ID | O20160108000920 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114310349 | NPI | - | NPPES |
| 915406162D | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D012804 (Georgia) | Primary |
| Provider Name | Xin Wei |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1538275623 PECOS PAC ID: 6305148248 Enrollment ID: I20160108001146 |
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