| Mouthpeace Dental 5 Llc | |
|
2655 S Cobb Dr Se Smyrna GA 30080-1873 | |
| (312) 371-1423 | |
| Not Available |
| Full Name | Mouthpeace Dental 5 Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2655 S Cobb Dr Se, Smyrna, Georgia |
| Authorized Official Name and Position | Syretta Wells (PRESIDENT) |
| Authorized Official Contact | 3123711423 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mouthpeace Dental 5 Llc Po Box 950008 Atlanta GA 30377-2008 Ph: (312) 371-1423 | Mouthpeace Dental 5 Llc 2655 S Cobb Dr Se Smyrna GA 30080-1873 Ph: (312) 371-1423 |
| NPI Number | 1982403887 |
|---|---|
| Provider Enumeration Date | 03/12/2025 |
| Last Update Date | 03/12/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982403887 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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