Organization
SMILE CENTER OF DALTON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIM FRANKLIN COLE D.D.S. (CO-OWNER)
(404) 513-1573
Entity
Organization
Contact information
Practice address
328 NORTHGATE DR, DALTON, GA 30721-8680
(706) 279-1802
(706) 279-1803
Mailing address
510 S KEELER WOODS DR NW, MARIETTA, GA 30064-2027
(404) 513-1573
(770) 452-3678
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN008003
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
590023714A
—
GA
Enumeration date
07/16/2010
Last updated
07/18/2010
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