A Smile 4 U

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN011529 Issued in GA

Legal business name

A SMILE 4 U

Practice address

366 N. Main St.
Suite 450
Alpharetta, GA 30009

Phone

(678) 387-2783

Fax

(678) 387-2784

NPI assigned

Dec 24, 2007

Last updated

May 20, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Akin Jawando

Title

Regional Clinical Coordinator

Phone

(678) 387-2783

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400544000000",
    "number": "1053595298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "366 N. MAIN ST.",
            "address_2": "SUITE 450",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "30009",
            "telephone_number": "678-387-2873",
            "fax_number": "678-387-2784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 N. MAIN ST.",
            "address_2": "SUITE 450",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "30009",
            "telephone_number": "678-387-2783",
            "fax_number": "678-387-2784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A SMILE 4 U",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-24",
        "last_updated": "2014-05-20",
        "status": "A",
        "authorized_official_last_name": "JAWANDO",
        "authorized_official_first_name": "AKIN",
        "authorized_official_title_or_position": "REGIONAL CLINICAL COORDINATOR",
        "authorized_official_telephone_number": "678-387-2783"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN011529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.