SMITH DENTAL CARE OF LILBURN, INC. (NPI# 1528515186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528515186 |
| Entity Type | Organization |
| Organization Name | SMITH DENTAL CARE OF LILBURN, INC. |
| Practice Address |
3100 Five Forks Trickham Rd Suite 201 Lilburn GA 30047 |
| Mailing Address |
259 Athens Street Hartwell GA 30643 |
| Practice Telephone | 7709783292 |
| Practice Fax Number | 7709783223 |
| Mailing Telephone | 7063762345 |
| Mailing Fax Number | 7063767244 |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |
| Authorized Official Name | DR. CHARLES M SMITH JR. (PRESIDENT) |
| Authorized Official Telephone | 7063767244 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2016015046 | GA | Dental Providers |
| Street Address |
3100 FIVE FORKS TRICKHAM RD SUITE 201 |
| City | LILBURN |
| State | GA |
| Zip Code | 30047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750861217 | Latrina S Walden | Nurse Practitioner | 887 Ryan Lane, Lilburn, GA 30047 | 2018-08-15 |
| 1811483928 | Olivia Oyegunle | Optometrist | 4153 Lawrenceville Hwy Nw Ste 5, Lilburn, GA 30047 | 2018-07-02 |
| 1932619285 | Mpm Creative, LLC | Speech-Language Pathologist | 1560 Hewatt Rd, Lilburn, GA 30047 | 2017-10-01 |
| 1891143244 | Choices Behavioral Alternatives | Counselor | 4037 Darling Court, Suite B, Lilburn, GA 30047 | 2016-05-26 |
| 1235595687 | Georgia Dental Associates | Clinic/Center | 3100 Five Forks Trickum Road Suite 201, Lilburn, GA 30047 | 2016-01-14 |
| 1912382144 | Sangeetha Asokan | Dentist | 609, Beaver Ruin Road, Tebo Dental for Kids, Lilburn, GA 30047 | 2015-07-29 |
| 1467836403 | Pamela Neal | Registered Nurse | 3315 Landingview Ct, Lilburn, GA 30047 | 2015-07-18 |
| 1699172452 | Josie Kou, Kulah Curran | Registered Nurse | 3708 Tamer Ln, Lilburn, GA 30047 | 2014-11-21 |
| 1184039380 | Cheryl Lee | Chiropractor | 5014 Stone Mountain Hwy, Suite C, Lilburn, GA 30047 | 2014-06-25 |
| 1851729883 | Avala Dental Providers,llc | Point of Service | 629 A Beaver Ruin Rd, Lilburn, GA 30047 | 2013-10-30 |
| Find all providers in zip 30047 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548810997 | Stone Mountain Dental 2, PC | Dentist | 3100 Five Forks Trickum Rd Sw Ste 402, Lilburn, GA 30047-1887 | 2019-09-18 |
| 1710544960 | Professional Dental Alliance of Lilburn, LLC | Dentist | 3970 Five Forks Trickum Rd Sw Ste B, Lilburn, GA 30047-2339 | 2019-05-23 |
| 1619482635 | Affordable Dental Care, LLC | Dentist | 3993 Lawrenceville Hwy Nw Ste 100a, Lilburn, GA 30047-2831 | 2017-12-13 |
| 1609100015 | Platinum Dental Group Lilburn, LLC | Dentist | 609 Beaver Ruin Rd, Suite A, Lilburn, GA 30047 | 2009-10-01 |
| 1326289992 | William George Brandenburg | Dentist | 4068 Five Forks Trickum Rd Sw, Lilburn, GA 30047-2341 | 2009-03-11 |
| 1023271186 | Thaddeus Harvey Jr. | Dentist | 331 Arcado Rd Nw, Lilburn, GA 30047-2814 | 2008-07-08 |
| 1992907802 | Jeffrey Stephen Smith | Dentist | 3100 Five Forks Trickum Rd Sw, Bldg 5, Suite 501, Lilburn, GA 30047-1890 | 2007-06-03 |
| 1336261221 | Eric Mcguire Staeben | Dentist | 3993 Lawrenceville Hwy, Suite 100a, Lilburn, GA 30047-2831 | 2007-04-04 |
| 1447379995 | David P Marion | Dentist | 629 Beaver Ruin Rd Nw Ste A, Lilburn, GA 30047-3437 | 2007-03-28 |
| 1154448850 | Platinum Dental of Lilburn | Dentist | 609 Beaver Ruin Rd Nw Ste A, Lilburn, GA 30047-3401 | 2007-03-26 |
| Find all providers in LILBURN | ||||
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| 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.