| Smiles For Kids Llc | |
|
1240 Buford Rd Suite 150 Cumming GA 30041-2731 | |
| (770) 781-0203 | |
| (770) 781-0204 |
| Full Name | Smiles For Kids Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1240 Buford Rd, Cumming, Georgia |
| Authorized Official Name and Position | Jyoti Desh Sharma (OWNER) |
| Authorized Official Contact | 4044331317 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smiles For Kids Llc 5140 Beecham Ct Suwanee GA 30024-3390 Ph: (404) 433-1317 | Smiles For Kids Llc 1240 Buford Rd Suite 150 Cumming GA 30041-2731 Ph: (770) 781-0203 |
| NPI Number | 1407128663 |
|---|---|
| Provider Enumeration Date | 02/03/2012 |
| Last Update Date | 02/03/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407128663 | NPI | - | NPPES |
| 437813642M | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DN12806 (Georgia) | Primary |
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