Great Smile Dental

LBN: Great Smile Dental
Great Smile Dental is an health care organization with primary practice located at 2145 Roswell Rd Ste 120, Marietta GA 30062-0821. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Great Smile Dental can be contacted via phone (770) 565-1010, or through Balyan, Supriti via phone (770) 565-1010.

Contact Information

Primary practice address
2145 Roswell Rd Ste 120 Marietta GA 30062-0821
Phone: (770) 565-1010
Fax: (770) 565-1037
Website:
Map and Directions
Authorized official contact:
Name: Balyan, Supriti Doctor of Dental Surgery (DDS)
Phone: (770) 565-1010

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 011733 Georgia

Profile Details

NPI number 1457499642
LBN Legal business name Great Smile Dental
DBA Doing business as
Authorized official Balyan, Supriti Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 1st, 2007
Last updated Mar 29th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457499642 NPPES
Georgia MEDICAID 350681612A

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