| Dallas Dental Smiles | |
|
455 Nathan Dean Blvd Ste 109 Dallas GA 30132-4921 | |
| (678) 674-7176 | |
| Not Available |
| Full Name | Dallas Dental Smiles |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 455 Nathan Dean Blvd Ste 109, Dallas, Georgia |
| Authorized Official Name and Position | Sonya Moss (OFFICE MANAGER) |
| Authorized Official Contact | 6786747176 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dallas Dental Smiles 455 Nathan Dean Blvd Ste 109 Dallas GA 30132-4921 Ph: (678) 674-7176 | Dallas Dental Smiles 455 Nathan Dean Blvd Ste 109 Dallas GA 30132-4921 Ph: (678) 674-7176 |
| NPI Number | 1548773773 |
|---|---|
| Provider Enumeration Date | 11/09/2017 |
| Last Update Date | 11/09/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548773773 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DNO13554 (Georgia) | Primary |
| 1223G0001X | Dentist - General Practice | DNO15261 (Georgia) | Secondary |
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