| Smile Parlor Llc | |
|
2714 Highway 155 Locust Grove GA 30248-2401 | |
| (470) 502-0820 | |
| (470) 502-0821 |
| Full Name | Smile Parlor Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2714 Highway 155, Locust Grove, Georgia |
| Authorized Official Name and Position | David Marcel Jenkins (OWNER) |
| Authorized Official Contact | 7708662080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Parlor Llc 2714 Highway 155 Locust Grove GA 30248-2401 Ph: (470) 502-0820 | Smile Parlor Llc 2714 Highway 155 Locust Grove GA 30248-2401 Ph: (470) 502-0820 |
| NPI Number | 1316581283 |
|---|---|
| Provider Enumeration Date | 11/04/2019 |
| Last Update Date | 12/17/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316581283 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Perfect Portrait Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5040 Bill Gardner Pkwy Ste 300, Locust Grove, GA 30248 Phone: 678-304-8408 Fax: 689-304-8409 | |
Dentfirst, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 680 Market Place Blvd.,, Suite A, Locust Grove, GA 30248 Phone: 770-446-8000 |