Radiant Smiles Dental of Chamblee LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

RADIANT SMILES DENTAL OF CHAMBLEE LLC

Practice address

4306 N Peachtree Road
Chamblee, GA 30314

Phone

(770) 455-1400

NPI assigned

Oct 26, 2017

Organization subpart

No

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

Authorized official

Name

Grace Wu Marhic

Title

Managing Partner

Phone

(404) 455-1400

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1508976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508976000000",
    "number": "1255843520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4306 N PEACHTREE RD",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "303411210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4306 N PEACHTREE ROAD",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "30314",
            "telephone_number": "770-455-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT SMILES DENTAL OF CHAMBLEE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-26",
        "last_updated": "2017-10-26",
        "status": "A",
        "authorized_official_last_name": "MARHIC",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "WU",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "404-455-1400"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Chamblee, GA
• Providers in Chamblee, GA by specialty
• Dental Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2017; 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.