| Southern Smile Dental Llc | |
|
6000 Joe Frank Harris Pkwy Nw Adairsville GA 30103-2443 | |
| (404) 454-1362 | |
| Not Available |
| Full Name | Southern Smile Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6000 Joe Frank Harris Pkwy Nw, Adairsville, Georgia |
| Authorized Official Name and Position | Maher Bourbia (DENTIST) |
| Authorized Official Contact | 4044541362 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Smile Dental Llc 6000 Joe Frank Harris Pkwy Nw Adairsville GA 30103-2443 Ph: (404) 454-1362 | Southern Smile Dental Llc 6000 Joe Frank Harris Pkwy Nw Adairsville GA 30103-2443 Ph: (404) 454-1362 |
| NPI Number | 1497417679 |
|---|---|
| Provider Enumeration Date | 10/06/2021 |
| Last Update Date | 10/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497417679 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |