Organization Active NPI

Smile Studio of Buford, LLC

  • Dental Clinic/Center
  • Buford, GA
National Provider Identifier
1063164358
Registry record updated Jan 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SMILE STUDIO OF BUFORD, LLC
Practice address
2725 Hamilton Mill Rd
Ste 700
Buford, GA 30519-6010
Phone
(678) 528-0772
NPI assigned
Jan 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2022

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

Authorized official

Name
Dr. Oluyemi Workman, DDSNPI 1487038931
Title
Owner Dentist
Phone
(678) 528-0772

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X

Addresses

Primary practice location

2725 Hamilton Mill Rd
Ste 700
Buford, GA 30519-6010

Mailing address

2725 Hamilton Mill Rd Ste 700
Buford, GA 30519-6010
Phone (678) 528-0772

Other names 1

  • Smile Studio of Buford Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1642550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642550400000",
    "number": "1063164358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2725 HAMILTON MILL RD STE 700",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305196010",
            "telephone_number": "678-528-0772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 HAMILTON MILL RD",
            "address_2": "STE 700",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305196010",
            "telephone_number": "678-528-0772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE STUDIO OF BUFORD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-19",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A",
        "authorized_official_last_name": "WORKMAN",
        "authorized_official_first_name": "OLUYEMI",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "678-528-0772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Studio of Buford",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Buford, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; 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.