| Smile Brite Dental | |
|
4084 N Henry Blvd Stockbridge GA 30281 | |
| (770) 474-7223 | |
| (770) 474-4614 |
| Full Name | Smile Brite Dental |
|---|---|
| Speciality | Dentist |
| Location | 4084 N Henry Blvd, Stockbridge, Georgia |
| Authorized Official Name and Position | Alfonso Carlos Fernandez (DENTIST) |
| Authorized Official Contact | 7704747223 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Brite Dental 4084 N Henry Blvd Stockbridge GA 30281 Ph: (770) 474-7223 | Smile Brite Dental 4084 N Henry Blvd Stockbridge GA 30281 Ph: (770) 474-7223 |
| NPI Number | 1205939899 |
|---|---|
| Provider Enumeration Date | 09/07/2006 |
| Last Update Date | 03/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205939899 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 14437 (Florida) | Secondary |
| 122300000X | Dentist | 11980 (Georgia) | Primary |
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