Organization
MARIETTA SMILES LLC
Active
Other names
Julian H. Campbell Corp
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES E CARTER IV DMD (OWNER/PRESIDENT)
(770) 826-4233
Entity
Organization
Contact information
Practice address
175 WHITE ST NW, SUITE 300, MARIETTA, GA 30060-1053
(770) 422-6521
(770) 422-6525
Mailing address
175 WHITE ST NW, SUITE 300, MARIETTA, GA 30060-1053
(770) 422-6521
(770) 422-6525
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
DN010102
GA
261QD0000X
Dental Clinic/Center
Primary
DN010592
GA
261QD0000X
Dental Clinic/Center
DN013011
GA
Other
Enumeration date
12/02/2013
Last updated
12/02/2013
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