Your Smile Family Dentistry

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

YOUR SMILE FAMILY DENTISTRY

Practice address

3931 Highway 78 W
Suite a
Snellville, GA 30039-3930

Phone

(770) 985-1050

Fax

(800) 985-8967

NPI assigned

Oct 28, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Heather Allen, DDS

Title

President

Phone

(770) 985-1050

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Your Smile Family Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Your Smile Family Dentistry

  • Dentist
  • Snellville, GA
  • NPI 1477723385
  NPD tax ID

Locations

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406764800000",
    "number": "1245483882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3931 HWY 78",
            "address_2": "SUITE A",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300393930",
            "telephone_number": "770-985-1050",
            "fax_number": "800-985-8967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3931 HIGHWAY 78 W",
            "address_2": "SUITE A",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300393930",
            "telephone_number": "770-985-1050",
            "fax_number": "800-985-8967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR SMILE FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2014-07-31",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-985-1050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00581215A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Yoon, O.D.
• Sejong Yoon, D.D.S.
• Cressinda Young- Woods, DPT
• Tyarah Young, RBT
• Your Choice Home Care LLC
• Your Smile Family Dentistry
• Your Way Out, LLC
• Your Way Your Voice, LLC
• Yourfide Dietitian LLC
• Yourfide Dietitian LLC

• Dentist in Snellville, GA
• Providers in Snellville, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.