Organization
SMILE NOW DENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUELINE IJEOMA OJIMBA DMD (CEO/OWNER)
(937) 572-9479
Entity
Organization
Contact information
Practice address
104 N BELAIR RD, SUITE 102, EVANS, GA 30809-6503
(706) 504-4903
Mailing address
104 N BELAIR RD, SUITE 102, EVANS, GA 30809-6503
(706) 504-4903
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
DN013852
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003151205A
—
GA
Enumeration date
03/20/2014
Last updated
12/16/2015
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