| Smile Today Pc | |
|
4897 Buford Hwy Ste 122 Chamblee GA 30341-3670 | |
| (678) 697-4656 | |
| (770) 452-5002 |
| Full Name | Smile Today Pc |
|---|---|
| Speciality | Dentist |
| Location | 4897 Buford Hwy Ste 122, Chamblee, Georgia |
| Authorized Official Name and Position | Cheng Gao (OWNER) |
| Authorized Official Contact | 4044298690 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Today Pc 11055 Bolster Ct Suwanee GA 30024-1576 Ph: (678) 697-4656 | Smile Today Pc 4897 Buford Hwy Ste 122 Chamblee GA 30341-3670 Ph: (678) 697-4656 |
| NPI Number | 1255751897 |
|---|---|
| Provider Enumeration Date | 04/22/2014 |
| Last Update Date | 04/22/2014 |
| Medicare PECOS PAC ID | 8022409754 |
|---|---|
| Medicare Enrollment ID | O20220106001722 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255751897 | NPI | - | NPPES |
| 527692709A | Other | GA | MEDICARE FOR GEORGIA DEPARTMENT OF COMMUNITY HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN013199 (Georgia) | Primary |
| Provider Name | Cheng Gao |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1548383839 PECOS PAC ID: 7113318858 Enrollment ID: I20220106001813 |
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