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Organization

SOUTHERN SMILES DENTISTRY CUMMING PC

Active
Other names
Sharon Springs Dental
Organization subpart
No

Provider details

NPI number
Authorized official
MR. SAMUEL RICHTER RDH (OFFICE MANAGER)
(470) 253-1747
Entity
Organization

Contact information

Practice address
1475 PEACHTREE PKWY STE C3, CUMMING, GA 30041-9793
(470) 253-1747
Mailing address
1475 PEACHTREE PKWY STE C3, CUMMING, GA 30041-9793
(470) 253-1747

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1225310592
PPO
GA
Enumeration date
06/28/2021
Last updated
06/28/2021
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