Smiles At Stone Mountain Festival
LBN: Dentures And Family Dentistry
Smiles At Stone Mountain Festival is an health care organization with primary practice located at 1825 Rockbridge Rd Suite 14 C, Stone Mountain GA 30087-3335. The organization recently has only one registered license in Managed Care Organizations / Health Maintenance Organization, which is considered as the primary health care specialty.
Dentures And Family Dentistry can be contacted via phone (678) 672-2720, or through Blount, Jimmie Lee via phone (770) 482-7800.
Contact Information
Primary practice address
1825 Rockbridge Rd Suite 14 C
Stone Mountain GA 30087-3335
Phone: (678) 672-2720
Fax: (678) 672-2722
Website:
Authorized official contact:
Name: Blount, Jimmie Lee Doctor of Dental Surgery (DDS)
Phone: (770) 482-7800
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Managed Care Organizations / Health Maintenance Organization | 302R00000X | DN11497 | Georgia |
Profile Details
| NPI number | 1396071270 |
|---|---|
| LBN Legal business name | Dentures And Family Dentistry |
| DBA Doing business as | Smiles At Stone Mountain Festival |
| Authorized official | Blount, Jimmie Lee Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 27th, 2009 |
| Last updated | Jul 30th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396071270 | NPPES |
| Georgia | MEDICAID | 000749504A |
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