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Smile Source Atlanta East
General Practice Dentistry in Stone Mountain, Georgia
NPI 1518622869

Smile Source Atlanta East is a General Practice Dentistry based in Atlanta, GA and is specialized in General Practice. Smile Source Atlanta East practices in Stone Mountain, GA. The NPI Number for Smile Source Atlanta East is 1518622869 and holds a License No. (Georgia).

The current practice location address for Smile Source Atlanta East is 1147 S Hairston Rd Ste A, Stone Mountain, GA and can be reached out via phone at 678-515-4200 and via fax at 678-515-4201.

Location: 1147 S Hairston Rd Ste A, Stone Mountain, GA, 30309-4516
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1518622869
Provider Name
Smile Source Atlanta East
Credential
Provider Entity Type
Organization
Address
1147 S Hairston Rd Ste A, Stone Mountain, GA, 30309-4516
Phone Number
678-515-4200
Fax Number
678-515-4201
Provider Enumeration Date
11/02/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DN122249 01 GA GA BOARD OF DENTITSTRY
DN011069 01 GA GA BOARD OF DENTISTRY
institution
Provider Business Practice Location Address Details
Address
1147 S Hairston Rd Ste A
City
Stone Mountain
State
Georgia
Zip
30088-2757
Phone Number
678-515-4200
Fax Number
678-515-4201
person
Provider Business Mailing Address Details
Address
1147 S Hairston Rd Ste A
City
Stone Mountain
State
Georgia
Zip
30088-2757
Phone Number
678-515-4200
Fax Number
678-515-4201
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
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Definition
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.
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