Active NPI
Smile Now Dental Clinic
- Health Maintenance Organization
- Evans, GA
National Provider Identifier
1295152833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- License
- DN013852
- Legal business name
- SMILE NOW DENTAL CLINIC
- Practice address
- 104 N Belair Rd
Suite 102
Evans, GA 30809-6503 - Phone
- (706) 504-4903
- NPI assigned
- Mar 20, 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
- Dr. Jacqueline Ijeoma Ojimba, DMD
- Title
- Ceo/Owner
- Phone
- (937) 572-9479
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | DN013852 | GA | Primary |
Addresses
Primary practice location
104 N Belair Rd
Suite 102
Evans, GA 30809-6503
Mailing address
104 N Belair Rd
Suite 102
Evans, GA 30809-6503
Phone (706) 504-4903
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003151205A | Medicaid | GA |
National Provider Directory
National Provider DirectoryLocations
104 N Belair Rd
Ste 102
Evans, GA 30809
Phone (706) 504-4903
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Evans, GA
- NPI 1073577912
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395273600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1450224000000",
"number": "1295152833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 N BELAIR RD",
"address_2": "SUITE 102",
"city": "EVANS",
"state": "GA",
"postal_code": "308096503",
"telephone_number": "706-504-4903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 N BELAIR RD",
"address_2": "SUITE 102",
"city": "EVANS",
"state": "GA",
"postal_code": "308096503",
"telephone_number": "706-504-4903"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMILE NOW DENTAL CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2014-03-20",
"last_updated": "2015-12-16",
"status": "A",
"authorized_official_last_name": "OJIMBA",
"authorized_official_first_name": "JACQUELINE",
"authorized_official_middle_name": "IJEOMA",
"authorized_official_title_or_position": "CEO/OWNER",
"authorized_official_telephone_number": "937-572-9479",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": "GA",
"license": "DN013852",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003151205A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Evans, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.