Smith Dental Care of Lilburn, Inc.

NPI #1528515186 in Lilburn, Georgia

Provider Information

NPI Number: 1528515186
Entity Type: Organization
Organization Name: Smith Dental Care of Lilburn, Inc.
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 1, 2016
Last Updated: Sep 1, 2016

Practice Location

Address: 3100 FIVE FORKS TRICKHAM RD SUITE 201
City: Lilburn
State: Georgia
ZIP Code: 30047
Phone: (770) 978-3292

Authorized Official

Name: DR. CHARLES M SMITH JR., DMD
Title: PRESIDENT
Phone: (706) 376-7244

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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