One Smile Away Inc

LBN: One Smile Away Inc
One Smile Away Inc is an health care organization with primary practice located at 4159 Elders Dr , Augusta GA 30909-9145. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. One Smile Away Inc can be contacted via phone (706) 231-0170, or through Williams, Tyjuan Marcquell via phone (706) 231-0170.

Contact Information

Primary practice address
4159 Elders Dr Augusta GA 30909-9145
Phone: (706) 231-0170
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Williams, Tyjuan Marcquell Doctor of Dental Medicine (DMD)
Phone: (706) 231-0170

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN017325 Georgia

Profile Details

NPI number 1558797761
LBN Legal business name One Smile Away Inc
DBA Doing business as
Authorized official Williams, Tyjuan Marcquell Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 19th, 2013
Last updated Sep 19th, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558797761 NPPES
Georgia MEDICAID 003107901A

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