Fabulous Smiles Of Atlanta Llc
LBN: Fabulous Smiles Of Atlanta Llc
Fabulous Smiles Of Atlanta Llc is an health care organization with primary practice located at 1188 Ralph David Abernathy Blvd Sw Suite 101, Atlanta GA 30310-1754. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty.
Fabulous Smiles Of Atlanta Llc can be contacted via phone (404) 758-0770, or through Greene, Danielle Denise via phone (404) 758-0770.
Contact Information
Primary practice address
1188 Ralph David Abernathy Blvd Sw Suite 101
Atlanta GA 30310-1754
Phone: (404) 758-0770
Fax:
Website:
Authorized official contact:
Name: Greene, Danielle Denise Doctor of Dental Surgery (DDS)
Phone: (404) 758-0770
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Managed Care Organizations / Preferred Provider Organization | 305R00000X | 011973 | Georgia |
Profile Details
| NPI number | 1962660555 |
|---|---|
| LBN Legal business name | Fabulous Smiles Of Atlanta Llc |
| DBA Doing business as | |
| Authorized official | Greene, Danielle Denise Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 30th, 2008 |
| Last updated | May 30th, 2008 - about 16 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 | 1962660555 | NPPES |
| Georgia | MEDICAID | 00814965C |
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