# SMILE BRITE DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205939899
- **Authorized official:** ALFONSO CARLOS FERNANDEZ DDS (DENTIST)
- **Authorized official phone:** (770) 474-7223

## Contact information

- **Practice address:** 4084 N HENRY BLVD, STOCKBRIDGE, GA 30281
- **Practice address phone:** (770) 474-7223
- **Practice address fax:** (770) 474-4614
- **Mailing address:** 4084 N HENRY BLVD, STOCKBRIDGE, GA 30281
- **Mailing address phone:** (770) 474-7223
- **Mailing address fax:** (770) 474-4614

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 11980 | GA | Yes |
| 122300000X | Dentist | 14437 | FL | — |

## Other

- **Enumeration date:** 09/07/2006
- **Last updated:** 03/27/2012
