| Smile Wit Confident, Llc | |
|
6465 Tara Blvd Jonesboro GA 30236-1214 | |
| (770) 629-6222 | |
| (678) 672-3131 |
| Full Name | Smile Wit Confident, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6465 Tara Blvd, Jonesboro, Georgia |
| Authorized Official Name and Position | Vicky Munoz (GENERAL MANAGER) |
| Authorized Official Contact | 7706296222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Wit Confident, Llc 6465 Tara Blvd Jonesboro GA 30236-1214 Ph: (770) 629-6222 | Smile Wit Confident, Llc 6465 Tara Blvd Jonesboro GA 30236-1214 Ph: (770) 629-6222 |
| NPI Number | 1982258968 |
|---|---|
| Provider Enumeration Date | 07/29/2019 |
| Last Update Date | 11/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982258968 | NPI | - | NPPES |
| 052452435 | Other | GA | DENTAL INSURANCE |
| DN008017 | Other | GA | DENTAL INSURANCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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