Active NPI
Smile Today PC
- Dentist
- Chamblee, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN013199
- Legal business name
- SMILE TODAY PC
- Practice address
- 4897 Buford Hwy Ste 122
Chamblee, GA 30341-3670 - Phone
- (678) 697-4656
- Fax
- (770) 452-5002
- NPI assigned
- Apr 22, 2014
- Last updated
- Apr 22, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cheng Gao
- Title
- Owner
- Phone
- (404) 429-8690
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN013199 | GA | Primary |
Addresses
Primary practice location
4897 Buford Hwy Ste 122
Chamblee, GA 30341-3670
Mailing address
11055 Bolster CT
Suwanee, GA 30024-1576
Phone (678) 697-4656
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 527692709A | Other | GA | MEDICARE FOR GEORGIA DEPARTMENT OF COMMUNITY HEALTH |
National Provider Directory
National Provider DirectoryLocations
4897 Buford Hwy
Ste 122
Chamblee, GA 30341
Phone (678) 697-4656
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Chamblee, GA
- NPI 1548383839
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398124800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1398124800000",
"number": "1255751897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11055 BOLSTER CT",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300241576",
"telephone_number": "678-697-4656",
"fax_number": "770-452-5002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4897 BUFORD HWY STE 122",
"city": "CHAMBLEE",
"state": "GA",
"postal_code": "303413670",
"telephone_number": "678-697-4656",
"fax_number": "770-452-5002"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMILE TODAY PC",
"organizational_subpart": "NO",
"enumeration_date": "2014-04-22",
"last_updated": "2014-04-22",
"status": "A",
"authorized_official_last_name": "GAO",
"authorized_official_first_name": "CHENG",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "404-429-8690"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "DN013199",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE FOR GEORGIA DEPARTMENT OF COMMUNITY HEALTH",
"identifier": "527692709A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chamblee, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.