| Smiles P.c. | |
|
113 Oxley Dr Lyons GA 30436-5644 | |
| (912) 526-9898 | |
| Not Available |
| Full Name | Smiles P.c. |
|---|---|
| Speciality | Dentist |
| Location | 113 Oxley Dr, Lyons, Georgia |
| Authorized Official Name and Position | Brian Burke (OWNER) |
| Authorized Official Contact | 9125269898 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smiles P.c. 113 Oxley Dr Lyons GA 30436-5644 Ph: () - | Smiles P.c. 113 Oxley Dr Lyons GA 30436-5644 Ph: (912) 526-9898 |
| NPI Number | 1194991752 |
|---|---|
| Provider Enumeration Date | 05/05/2008 |
| Last Update Date | 05/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194991752 | NPI | - | NPPES |
| 415429674A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN012570 (Georgia) | Primary |
Donald J Payne Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 668 Nw Broad St, Lyons, GA 30436 Phone: 912-526-6616 Fax: 912-526-6616 |