| Southern Smiles Pediatric Dentistry | |
|
400 Town Park Blvd Ste 400 Evans GA 30809-3471 | |
| (706) 288-1100 | |
| (706) 288-1060 |
| Full Name | Southern Smiles Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 400 Town Park Blvd Ste 400, Evans, Georgia |
| Authorized Official Name and Position | Kelly Hughes (OWNER/DENTIST) |
| Authorized Official Contact | 7063998601 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Smiles Pediatric Dentistry 400 Town Park Blvd Ste 400 Evans GA 30809-3471 Ph: (706) 288-1100 | Southern Smiles Pediatric Dentistry 400 Town Park Blvd Ste 400 Evans GA 30809-3471 Ph: (706) 288-1100 |
| NPI Number | 1114441995 |
|---|---|
| Provider Enumeration Date | 08/02/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114441995 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DN012769 (Georgia) | Primary |
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