Kool Smiles In Ft. Wayne, Pc in Marietta - General Practice
Kool Smiles In Ft. Wayne, Pc - NPI 1679660278
Kool Smiles In Ft. Wayne, Pc is a General Practice in Marietta, Georgia. Kool Smiles In Ft. Wayne, Pc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kool Smiles In Ft. Wayne, Pc is 1679660278. The last update date is 2019-03-22.
Kool Smiles In Ft. Wayne, Pc's current location address is 1090 Northchase Pkwy Se Ste 150, Marietta, Georgia. You can contact this provider via phone number 7709165028 and fax number 6782477858. The mailing address for Kool Smiles In Ft. Wayne, Pc is 1090 Northchase Pkwy Se Ste 150, Marietta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kool Smiles In Ft. Wayne, Pc |
|---|---|
| Address | 1090 Northchase Pkwy Se Ste 150, Marietta, Georgia |
| Phone Number | 7709165028 |
| Fax Number | 6782477858 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Tran Tu |
| Credentials | DDS |
| Telephone Number | 7709165036 |
NPI Number Detail
| NPI Number | 1679660278 |
|---|---|
| Provider Enumeration Date | 2006-10-06 |
| Last Updated Date | 2019-03-22 |
Provider Mailing Address Detail
| Address | 1090 Northchase Pkwy Se Ste 150 |
|---|---|
| City | Marietta |
| State | Georgia (GA) |
| Post Code | 300676407 |
| Phone Number | 7709165028 |
| Fax Number | 6782477858 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
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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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What is the unique 10-digit identification code issued to Kool Smiles In Ft. Wayne, Pc by the Centers for Medicare & Medicaid Services?
The Kool Smiles In Ft. Wayne, Pc has been assigned the NPI (National Provider Identifier) 1679660278 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Kool Smiles In Ft. Wayne, Pc located?
The Kool Smiles In Ft. Wayne, Pc is located at 1090 Northchase Pkwy Se Ste 150, Marietta, GA 300676407.
What is Kool Smiles In Ft. Wayne, Pc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kool Smiles In Ft. Wayne, Pc's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
On what date did Kool Smiles In Ft. Wayne, Pc receive its 1679660278 assignment from the Centers for Medicare & Medicaid Services?
The Kool Smiles In Ft. Wayne, Pc was assigned its 1679660278 on 2006-10-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Kool Smiles In Ft. Wayne, Pc most recently updated or refreshed?
The details pertaining to the Kool Smiles In Ft. Wayne, Pc, including its address, specialty, and other relevant information, were last updated or refreshed on 2019-03-22.
NPI Number: 1407858566
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