Organization
SMITH DENTAL CARE OF LILBURN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES M SMITH JR. DMD (PRESIDENT)
(706) 376-7244
Entity
Organization
Contact information
Practice address
3100 FIVE FORKS TRICKHAM RD SUITE 201, LILBURN, GA 30047
(770) 978-3292
(770) 978-3223
Mailing address
259 ATHENS STREET, HARTWELL, GA 30643
(706) 376-2345
(706) 376-7244
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2016015046
GA
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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