| Southern Smiles Orthodontics, Llc | |
|
7475 Douglas Blvd Ste 201 Douglasville GA 30135-1519 | |
| (770) 942-4100 | |
| Not Available |
| Full Name | Southern Smiles Orthodontics, Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 7475 Douglas Blvd Ste 201, Douglasville, Georgia |
| Authorized Official Name and Position | Cassandra Wieth (PAYOR RELATIONS MANAGER) |
| Authorized Official Contact | 4405638819 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Smiles Orthodontics, Llc 7475 Douglas Blvd Ste 201 Douglasville GA 30135-1519 Ph: () - | Southern Smiles Orthodontics, Llc 7475 Douglas Blvd Ste 201 Douglasville GA 30135-1519 Ph: (770) 942-4100 |
| NPI Number | 1619788676 |
|---|---|
| Provider Enumeration Date | 01/17/2025 |
| Last Update Date | 01/17/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619788676 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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