# YOUR SMILE FAMILY DENTISTRY

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

## Provider details

- **NPI number:** 1477723385
- **Authorized official:** HEATHER ALLEN DENTIST (DOCTOR)
- **Authorized official phone:** (404) 294-3600

## Contact information

- **Practice address:** 3931 HIGHWAY 78 W, SUITE A, SNELLVILLE, GA 30039-3930
- **Practice address phone:** (770) 985-1050
- **Mailing address:** PO BOX 33222, DECATUR, GA 30033-0222
- **Mailing address phone:** (770) 985-1050

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 03/06/2008
- **Last updated:** 09/17/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00581215A | — | GA |