| Smile Zone Dental Clinic | |
|
8225 Mall Pkwy Ste 200 Lithonia GA 30038-6995 | |
| (770) 484-8535 | |
| (770) 484-8536 |
| Full Name | Smile Zone Dental Clinic |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8225 Mall Pkwy Ste 200, Lithonia, Georgia |
| Authorized Official Name and Position | Anthony Joseph Parker (DENTIST/OWNER) |
| Authorized Official Contact | 7704848535 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Zone Dental Clinic 8225 Mall Pkwy Ste 200 Lithonia GA 30038-6995 Ph: (770) 484-8535 | Smile Zone Dental Clinic 8225 Mall Pkwy Ste 200 Lithonia GA 30038-6995 Ph: (770) 484-8535 |
| NPI Number | 1508265604 |
|---|---|
| Provider Enumeration Date | 08/14/2014 |
| Last Update Date | 08/14/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508265604 | NPI | - | NPPES |
| 698559902A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN010354 (Georgia) | Primary |
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