Organization
FABULOUS SMILES OF ATLANTA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIELLE DENISE GREENE DDS (PRESIDENT)
(404) 758-0770
Entity
Organization
Contact information
Practice address
1188 RALPH DAVID ABERNATHY BLVD SW, SUITE 101, ATLANTA, GA 30310-1754
(404) 758-0770
Mailing address
1188 RALPH DAVID ABERNATHY BLVD SW, SUITE 101, ATLANTA, GA 30310-1754
(404) 758-0770
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
011973
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00814965C
—
GA
Enumeration date
05/30/2008
Last updated
05/30/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us