| Fayetteville Smiles Dentistry | |
|
117 Pavilion Pkwy Suite 15b Fayetteville GA 30214-7732 | |
| (770) 953-6975 | |
| (770) 953-6979 |
| Full Name | Fayetteville Smiles Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 117 Pavilion Pkwy, Fayetteville, Georgia |
| Authorized Official Name and Position | Katie L Mccann (OWNER) |
| Authorized Official Contact | 7709536975 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fayetteville Smiles Dentistry 17000 Red Hill Ave Irvine CA 92614-5626 Ph: (714) 845-8890 | Fayetteville Smiles Dentistry 117 Pavilion Pkwy Suite 15b Fayetteville GA 30214-7732 Ph: (770) 953-6975 |
| NPI Number | 1912303413 |
|---|---|
| Provider Enumeration Date | 11/10/2014 |
| Last Update Date | 11/10/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912303413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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