Organization
SMITH DENTAL CARE OF WINDER LLC
Active
Other names
Smith Dental Care of Winder LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CELESTE JOHNSON (CREDENTIALING SPECIALIST)
(706) 376-2345
Entity
Organization
Contact information
Practice address
48 PIEDMONT DR STE 302, WINDER, GA 30680-8132
(706) 619-1307
(706) 510-2594
Mailing address
3700 ATLANTA HWY STE 10, ATHENS, GA 30606-7201
(706) 619-1307
(706) 510-2594
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/29/2020
Last updated
12/29/2020
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