| Modern Smiles Dentistry, P.c. | |
|
2095 Highway 211 Nw Ste 6a Braselton GA 30517-3403 | |
| (770) 800-1044 | |
| Not Available |
| Full Name | Modern Smiles Dentistry, P.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2095 Highway 211 Nw Ste 6a, Braselton, Georgia |
| Authorized Official Name and Position | Oluyemi Workman (DENTIST) |
| Authorized Official Contact | 7708001044 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Smiles Dentistry, P.c. 2095 Highway 211 Nw Ste 6a Braselton GA 30517-3403 Ph: () - | Modern Smiles Dentistry, P.c. 2095 Highway 211 Nw Ste 6a Braselton GA 30517-3403 Ph: (770) 800-1044 |
| NPI Number | 1568947554 |
|---|---|
| Provider Enumeration Date | 09/26/2018 |
| Last Update Date | 06/26/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568947554 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
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