Smiles On Main

LBN: Comprehensive Dental Center
Smiles On Main is an health care organization with primary practice located at 342 N Main St Suite 110, Alpharetta GA 30004-8376. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Comprehensive Dental Center can be contacted via phone (678) 762-1613, or through Patel, Ketankumar G via phone (678) 762-1613.

Contact Information

Primary practice address
342 N Main St Suite 110 Alpharetta GA 30004-8376
Phone: (678) 762-1613
Fax: (678) 762-1689
Website:
Map and Directions
Authorized official contact:
Name: Patel, Ketankumar G Doctor of Dental Medicine (DMD)
Phone: (678) 762-1613

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN012835 Georgia
Dental Providers / Dentist 122300000X DN008017 Georgia
Dental Providers / Dentist 122300000X DN007359 Georgia

Profile Details

NPI number 1740308576
LBN Legal business name Comprehensive Dental Center
DBA Doing business as Smiles On Main
Authorized official Patel, Ketankumar G Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 27th, 2007
Last updated Nov 13th, 2014 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740308576 NPPES
Georgia MEDICAID 500129458B

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