| Smile Innovations | |
|
10230 Ford Ave Richmond Hill GA 31324-8854 | |
| (912) 756-2936 | |
| (912) 756-2931 |
| Full Name | Smile Innovations |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10230 Ford Ave, Richmond Hill, Georgia |
| Authorized Official Name and Position | Philip Copenhaver (DENTIST) |
| Authorized Official Contact | 9127562936 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Innovations 10230 Ford Ave Richmond Hill GA 31324-8854 Ph: (912) 756-2936 | Smile Innovations 10230 Ford Ave Richmond Hill GA 31324-8854 Ph: (912) 756-2936 |
| NPI Number | 1407077415 |
|---|---|
| Provider Enumeration Date | 05/01/2007 |
| Last Update Date | 01/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407077415 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN012235 (Georgia) | Primary |
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