| Southern Smiles Llc | |
|
275 N Frontage Rd Forsyth GA 31029-9556 | |
| (478) 994-6473 | |
| Not Available |
| Full Name | Southern Smiles Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 275 N Frontage Rd, Forsyth, Georgia |
| Authorized Official Name and Position | Stanley Jason Hickman (OWNER/DENTIST) |
| Authorized Official Contact | 4789946473 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Smiles Llc 275 N Frontage Rd Forsyth GA 31029-9556 Ph: (478) 994-6473 | Southern Smiles Llc 275 N Frontage Rd Forsyth GA 31029-9556 Ph: (478) 994-6473 |
| NPI Number | 1942573662 |
|---|---|
| Provider Enumeration Date | 02/10/2012 |
| Last Update Date | 02/10/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942573662 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 011865 (Georgia) | Primary |
Deena Holliman Smith, Dmd, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 Medical Ct, Forsyth, GA 31029 Phone: 478-994-1171 | |
Ambrose Pediatric Dentistry Of Forsyth, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 N Lee St Ste D, Forsyth, GA 31029 Phone: 478-992-6507 |