institution
Idealsmile
Dental Clinic/Center in Columbus, Georgia
NPI 1710130455

Idealsmile is a Dental Clinic/Center based in Columbus, GA and is specialized in Dental. Idealsmile practices in Columbus, GA. The NPI Number for Idealsmile is 1710130455 and holds a License No. DN013040 (Georgia).

The current practice location address for Idealsmile is 2501 Whittlesey Blvd, Columbus, GA and can be reached out via phone at 706-257-7374 and via fax at 706-257-7379.

Location: 2501 Whittlesey Blvd, Columbus, GA, 31909-3031
institution
Provider Profile Details
NPI Number
1710130455
Provider Name
Idealsmile
Credential
Provider Entity Type
Organization
Address
2501 Whittlesey Blvd, Columbus, GA, 31909-3031
Phone Number
706-257-7374
Fax Number
706-257-7379
Provider Enumeration Date
10/28/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
561235509C 05 GA
626075029C 05 GA
institution
Provider Business Practice Location Address Details
Address
2501 Whittlesey Blvd
City
State
Zip
31909-3031
Phone Number
706-257-7374
Fax Number
706-257-7379
person
Provider Business Mailing Address Details
Address
2501 Whittlesey Blvd
City
State
Zip
31909-3031
Phone Number
706-257-7374
Fax Number
706-257-7379
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
DN013040 (Georgia)
Definition
Definition to come...
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