# KOOL SMILES IN-3, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pippin Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750606059
- **Authorized official:** DAVID M. VIETH DDS (SECRETARY/TREASURER)
- **Authorized official phone:** (770) 916-5036

## Contact information

- **Practice address:** 1021 W 5TH AVE, GARY, IN 46402-1703
- **Practice address phone:** (800) 920-9947
- **Mailing address:** 400 GALLERIA PKWY SE STE 800, ATLANTA, GA 30339-6413

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 03/30/2010
- **Last updated:** 03/22/2019