Southern Smiles Orthodontics, LLC
NPI #1619788676 in Douglasville, Georgia
Provider Information
- NPI Number
- 1619788676
- Entity Type
- Organization
- Organization Name
- Southern Smiles Orthodontics, LLC
- Primary Specialty
- Dentist - Orthodontics and Dentofacial Orthopedics
- Enumeration Date
- Jan 17, 2025
- Last Updated
- Jan 17, 2025
Practice Location
- Address
- 7475 DOUGLAS BLVD STE 201
- City
- Douglasville
- State
- Georgia
- ZIP Code
- 30135-1519
- Phone
- (770) 942-4100
Authorized Official
- Name
- CASSANDRA WIETH
- Title
- PAYOR RELATIONS MANAGER
- Phone
- (440) 563-8819
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
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