Organization
ARDENT SMILES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON LYNCH (OWNER)
(678) 612-1457
Entity
Organization
Contact information
Practice address
1380 MILSTEAD AVE NE STE A, CONYERS, GA 30012-3864
(678) 612-1457
Mailing address
1380 MILSTEAD AVE NE STE A, CONYERS, GA 30012-3864
(678) 612-1457
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
12/23/2024
Last updated
12/23/2024
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