Smile Innovations
NPI #1407077415 in Richmond Hill, Georgia
Provider Information
- NPI Number
- 1407077415
- Entity Type
- Organization
- Organization Name
- Smile Innovations
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 1, 2007
- Last Updated
- Jan 14, 2008
Practice Location
- Address
- 10230 FORD AVE
- City
- Richmond Hill
- State
- Georgia
- ZIP Code
- 31324-8854
- Phone
- (912) 756-2936
Authorized Official
- Name
- PHILIP COPENHAVER, DDS
- Title
- DENTIST
- Phone
- (912) 756-2936
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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