Super Smiles Pc

LBN: Super Smiles Pc
Super Smiles Pc is an health care organization with primary practice located at 2058 N Decatur Rd , Decatur GA 30033-5306. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Super Smiles Pc can be contacted via phone (404) 636-1200, or through Shaeffer, Francis P via phone (404) 636-1200.

Contact Information

Primary practice address
2058 N Decatur Rd Decatur GA 30033-5306
Phone: (404) 636-1200
Fax: (404) 636-1199
Website:
Map and Directions
Authorized official contact:
Name: Shaeffer, Francis P Doctor of Dental Medicine (DMD)
Phone: (404) 636-1200

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 012746 Georgia

Profile Details

NPI number 1295992055
LBN Legal business name Super Smiles Pc
DBA Doing business as
Authorized official Shaeffer, Francis P Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date May 20th, 2008
Last updated May 20th, 2008 - about 18 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 1295992055 NPPES
Georgia Other 425180080B MEDICAID

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