SMILE PARLOR LLC


Address: 2714 Highway 155, Locust Grove, GA 30248-2401
Phone: 4705020820

SMILE PARLOR LLC (NPI# 1316581283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316581283
Entity Type Organization
Organization Name SMILE PARLOR LLC
Practice Address 2714 Highway 155
Locust Grove
GA 30248-2401
Practice Telephone 4705020820
Practice Fax Number 4705020821
Mailing Telephone 4705020820
Mailing Fax Number 4705020821
Enumeration Date 2019-11-04
Last Update Date 2019-12-17
Authorized Official Name DAVID MARCEL JENKINS (OWNER)
Authorized Official Telephone 7708662080
Authorized Official Credential DMD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QD0000X Clinic/Center
Specialization: Dental
Ambulatory Health Care Facilities

Office Location

Street Address 2714 HIGHWAY 155
City LOCUST GROVE
State GA
Zip Code 30248-2401

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407385669 David Jenkins Dentist 2714 Highway 155, Locust Grove, GA 30248-2401 2017-06-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346809779 Uyen Nguyen Dentist 4146 Ga-42, Locust Grove, GA 30248 2019-06-10
1669038303 Monique Antoinette Joseph Nurse Practitioner 3334 Highway 155 Ste B, Locust Grove, GA 30248 2019-05-17
1811552524 Fresenius Medical Care Locust Grove, LLC Clinic/Center 2855 Ga-155 S, Locust Grove, GA 30248 2019-05-08
1972167765 Wesley Todd Livingston Pharmacist 2730 Ga 155, Locust Grove, GA 30248 2019-04-26
1053974550 Wish You Well Youth Faith Foundation Inc Contractor 147 Laughlin Dr, Locust Grove, GA 30248 2019-04-19
1740776517 Takle Eye Surgery Center LLC Clinic/Center 1075 Bandy Pkwy, Ste 105, Locust Grove, GA 30248 2018-07-05
1508357559 Justin Robert Crumpton Behavioral Analyst 212 Westin Park Dr, Locust Grove, GA 30248 2018-05-25
1730679051 Lisa Renee Jones Family Medicine 3778 G 42, Locus Grove, GA 30248 2018-05-11
1275042152 Stephanie Jones Headen Counselor 211 Peeksville Rd., Locust Grove, GA 30248 2017-09-23
1942735592 Brandi Nicole Buice Minter Pharmacist 4920 Bill Gardner Parkway, Locust Grove, GA 30248 2017-04-20
Find all providers in zip 30248

Taxonomy Information

Taxonomy Code 261QD0000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Dental

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386147668 Lake Plaza Dental PC Clinic/Center 36101 Goodwin Dr, Locust Grove, VA 22508-2029 2018-03-13
1679072664 Main Street Dental, Pllc Clinic/Center 409 E Main St, Locust Grove, OK 74352-5116 2018-02-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1922606490 Smile Pleasant Hill LLC Clinic/Center 828 Pleasant Hill Rd Nw Ste 10, Lilburn, GA 30047-2757 2020-10-15
1982213583 Munoz Dental Resources LLC Clinic/Center 4141 Steve Reynolds Blvd Ste 1, Norcross, GA 30093-3060 2020-07-29
1407474794 Familia Dentistry of Georgia, LLC Clinic/Center 4574 Lawrenceville Hwy Nw Ste 120r, Lilburn, GA 30047-3605 2020-07-13
1336763648 Bethlehem Orthodontics Clinic/Center 426 Exchange Blvd Ste 400, Bethlehem, GA 30620-1791 2020-06-02
1770106882 Smiles By Dixon PC Clinic/Center 690 Lanier Park Dr, Gainesville, GA 30501-2061 2020-05-22
1811516479 Mouthpeace Dental 4, LLC Clinic/Center 541 Forest Pkwy Ste 18, Forest Park, GA 30297-6110 2020-04-14
1427677541 Mh Dental Group, LLC Clinic/Center 1305 Cedarcrest Rd Ste 115, Dallas, GA 30132-8201 2020-04-09
1104451160 Sno Healthcare Group Clinic/Center 2424 Roswell Rd Ste 120, Marietta, GA 30062 2020-03-10
1952935710 West Cobb Periodontics and Implant Dentistry LLC Clinic/Center 44 Old Hamilton Rd Nw Ste 200, Marietta, GA 30064-5901 2020-03-02
1659904241 Dental Now Kids LLC Clinic/Center 4151 Steve Reynolds Blvd Ste 2, Norcross, GA 30093-3060 2020-02-21
Find all providers with the same taxonomy

Competitor

Search similar providers

City LOCUST GROVE
Zip Code 30248

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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