Smile Parlor LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SMILE PARLOR LLC

Practice address

2714 Highway 155
Locust Grove, GA 30248-2401

Phone

(470) 502-0820

Fax

(470) 502-0821

NPI assigned

Nov 4, 2019

Last updated

Dec 17, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Marcel Jenkins, DMDNPI 1407385669

Title

Owner

Phone

(770) 866-2080

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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.

• David Jenkins

  • Dentist
  • Locust Grove, GA
  • NPI 1407385669
  NPD Authorized official

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

{
    "created_epoch": "1572825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576540800000",
    "number": "1316581283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2714 HIGHWAY 155",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302482401",
            "telephone_number": "470-502-0820",
            "fax_number": "470-502-0821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2714 HIGHWAY 155",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302482401",
            "telephone_number": "470-502-0820",
            "fax_number": "470-502-0821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE PARLOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-04",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MARCEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-866-2080",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "drjenkins@smileparlor.com",
            "affiliation": "N",
            "endpointDescription": "Email business",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2714 Highway 155",
            "city": "Locust Grove",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302482401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Diana Shekoury, OD
• Shield Care Transport LLC
• Jamie Shuler
• Sharon Gail Singley
• Sitm Transportation
• Carla Spyies Smiley, AU.D., CCC-A
• Fonda Kay Smith
• Monica Mone' Smith, DPT
• Randall C Smith, RPH
• Shanay Francine Smith, FNP

• Dental Clinic/Center in Locust Grove, GA
• Providers in Locust Grove, 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 Dec 17, 2019; 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.