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Organization
SMILE DENTAL GROUP OF CONYERS PC
Active
Organization
SMILE DENTAL GROUP OF CONYERS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL SPURGEON (CREDENTIALING SUPERVISOR)
(888) 833-8441
Entity
Organization
Contact information
Practice address
1816 LAKEFIELD CT, CONYERS, GA 30013
(770) 860-8760
(770) 760-1375
Mailing address
1816 LAKEFIELD CT SE, CONYERS, GA 30013-6609
(770) 860-8760
(770) 760-1375
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/09/2006
Last updated
07/30/2026
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