| Sunny Smiles Llc | |
|
655 N Belair Rd Evans GA 30809-4219 | |
| (706) 850-4040 | |
| (706) 868-9200 |
| Full Name | Sunny Smiles Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 655 N Belair Rd, Evans, Georgia |
| Authorized Official Name and Position | Blake Taylor Ross (OWNER) |
| Authorized Official Contact | 7063734587 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunny Smiles Llc 655 N Belair Rd Evans GA 30809-4219 Ph: (706) 850-4040 | Sunny Smiles Llc 655 N Belair Rd Evans GA 30809-4219 Ph: (706) 850-4040 |
| NPI Number | 1689456899 |
|---|---|
| Provider Enumeration Date | 10/23/2023 |
| Last Update Date | 10/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689456899 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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