Organization
SMILE INNOVATIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP COPENHAVER DDS (DENTIST)
(912) 756-2936
Entity
Organization
Contact information
Practice address
10230 FORD AVE, RICHMOND HILL, GA 31324-8854
(912) 756-2936
(912) 756-2931
Mailing address
10230 FORD AVE, RICHMOND HILL, GA 31324-8854
(912) 756-2936
(912) 756-2931
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN012235
GA
Other
Enumeration date
05/01/2007
Last updated
01/14/2008
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