| Kool Smiles, PC | |
|
2113 Bemiss Road Valdosta GA 31602 | |
| (800) 920-9947 | |
| (678) 904-5666 |
| Full Name | Kool Smiles, PC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2113 Bemiss Road, Valdosta, Georgia |
| Authorized Official Name and Position | Thien CHI Pham (OWNER) |
| Authorized Official Contact | 4042296898 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kool Smiles, PC 400 Galleria Pkwy Se Suite 800 Atlanta GA 30339-5980 Ph: (770) 916-5028 | Kool Smiles, PC 2113 Bemiss Road Valdosta GA 31602 Ph: (800) 920-9947 |
| NPI Number | 1457448987 |
|---|---|
| Provider Enumeration Date | 10/06/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457448987 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN012573 (Georgia) | Primary |
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