Great Smile Dental in Marietta - General Practice
Great Smile Dental - NPI 1457499642
Great Smile Dental is a General Practice in Marietta, Georgia. Great Smile Dental practices all healthcare services and medical treatments related to General Practice. The NPI Number for Great Smile Dental is 1457499642. The last update date is 2010-03-29.
Great Smile Dental's current location address is 2145 Roswell Rd, Marietta, Georgia. You can contact this provider via phone number 7705651010 and fax number 7705651037. The mailing address for Great Smile Dental is 2145 Roswell Rd, Marietta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Great Smile Dental |
|---|---|
| Address | 2145 Roswell Rd, Marietta, Georgia |
| Phone Number | 7705651010 |
| Fax Number | 7705651037 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Balyan Supriti |
| Credentials | DDS |
| Telephone Number | 7705651010 |
NPI Number Detail
| NPI Number | 1457499642 |
|---|---|
| Provider Enumeration Date | 2007-02-01 |
| Last Updated Date | 2010-03-29 |
Provider Mailing Address Detail
| Address | 2145 Roswell Rd |
|---|---|
| City | Marietta |
| State | Georgia (GA) |
| Post Code | 300620821 |
| Phone Number | 7705651010 |
| Fax Number | 7705651037 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 11733 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 350681612A | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Great Smile Dental by the Centers for Medicare & Medicaid Services?
The Great Smile Dental has been assigned the NPI (National Provider Identifier) 1457499642 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Great Smile Dental is located?
The Great Smile Dental is situated at the following address: 2145 Roswell Rd, Marietta, GA, 300620821.
What is Great Smile Dental's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Great Smile Dental is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.
On what date did the Great Smile Dental receive its 1457499642 assignment from the Centers for Medicare & Medicaid Services?
The Great Smile Dental was assigned its 1457499642 by the Centers for Medicare & Medicaid Services on 2007-02-01.
When was the Great Smile Dental's information last updated?
The Great Smile Dental's information was last updated on 2010-03-29.
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