| Pediatric Smile Studio | |
|
2526 Shallowford Rd Suite C Marietta GA 30066-3053 | |
| (678) 813-0500 | |
| (678) 813-0600 |
| Full Name | Pediatric Smile Studio |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2526 Shallowford Rd, Marietta, Georgia |
| Authorized Official Name and Position | Eileen Buckle (DENTIST) |
| Authorized Official Contact | 6789825130 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Smile Studio 2526 Shallowford Rd Suite C Marietta GA 30066-3053 Ph: (678) 813-0500 | Pediatric Smile Studio 2526 Shallowford Rd Suite C Marietta GA 30066-3053 Ph: (678) 813-0500 |
| NPI Number | 1619313384 |
|---|---|
| Provider Enumeration Date | 05/21/2013 |
| Last Update Date | 05/21/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619313384 | NPI | - | NPPES |
| 003108300 | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DN014232 (Georgia) | Primary |
Damian Sommerville, Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1951 Canton Rd, Ste 310, Marietta, GA 30066 Phone: 770-423-0324 | |
Post Oak Pediatric Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2155 Post Oak Tritt Rd Ste 450, Marietta, GA 30062 Phone: 770-971-5536 Fax: 770-971-3046 | |
East Cobb Nia Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1111 Johnson Ferry Rd, Marietta, GA 30068 Phone: 770-479-9999 | |
L R Smiles Of Marietta, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3698 Largent Way Suite 202, Marietta, GA 30064 Phone: 770-423-4900 | |
Jeffrey K. Knauer, Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2663 Sandy Plains Rd, Marietta, GA 30066 Phone: 770-977-0827 Fax: 770-973-6764 | |
Enoch And Lamei Orthodontics, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2155 Post Oak Tritt Rd Ste 180, Marietta, GA 30062 Phone: 770-977-0377 | |
Cosmetic And Family Dentistry Of Roswell Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1611 Sands Pl Se Ste 100, Marietta, GA 30067 Phone: 770-226-0008 Fax: 770-226-0700 |