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Smile Magic
Pediatric Dentist in Alpharetta, Georgia
NPI 1700126398

Smile Magic is a Pediatric Dentist based in Alpharetta, GA and is specialized in Pediatric Dentistry. Smile Magic practices in Alpharetta, GA. The NPI Number for Smile Magic is 1700126398 and holds a License No. DN012444 (Georgia).

The current practice location address for Smile Magic is 2880 Old Alabama Rd, Alpharetta, GA and can be reached out via phone at 770-480-3751.

Location: 2880 Old Alabama Rd, Alpharetta, GA, 30022-5051
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1700126398
Provider Name
Smile Magic
Credential
Provider Entity Type
Organization
Address
2880 Old Alabama Rd, Alpharetta, GA, 30022-5051
Phone Number
770-480-3751
Fax Number
Provider Enumeration Date
02/19/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DN012444 01 GA GEORGIA STATE DENTAL LICENSE
DN012634 01 GA GEORGIA STATE DENTAL LICENSE
institution
Provider Business Practice Location Address Details
Address
2880 Old Alabama Rd
City
Alpharetta
State
Georgia
Zip
30022-5051
Phone Number
770-480-3751
Fax Number
person
Provider Business Mailing Address Details
Address
2880 Old Alabama Rd
City
Alpharetta
State
Georgia
Zip
30022-5051
Phone Number
770-480-3751
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
DN012444 (Georgia)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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