Klean Sonrisas Dental Care

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

KLEAN SONRISAS DENTAL CARE

Practice address

3195 Buford Hwy Ste 3
Duluth, GA 30096-3379

Phone

(678) 768-1198

NPI assigned

Jun 7, 2021

Organization subpart

No

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

Authorized official

Name

Viviana Suarez

Title

Manager

Phone

(678) 768-1198

Specialties & licenses 1

Addresses

Other names 1

• Klean Sonrisas Dental Care Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alicia Viviana Suarez

  • Dental Hygienist
  • Duluth, GA
  • NPI 1982270849
  NPD

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623024000000",
    "number": "1376110460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3195 BUFORD HWY STE 3",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300963379",
            "telephone_number": "678-768-1198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3195 BUFORD HWY STE 3",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300963379",
            "telephone_number": "678-768-1198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLEAN SONRISAS DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-07",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A",
        "authorized_official_last_name": "SUAREZ",
        "authorized_official_first_name": "VIVIANA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "678-768-1198"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Klean Sonrisas Dental Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Karly Marie Kincaid Moss, PA
• Chelsea King, NCC, LPC
• Ginny Kington, PSY.D.
• Hannah Elizabeth Kinne, PA-C, MPAS
• Meliea Kirk
• Richard Wallace Klomp, LPC
• KMJ Healthcare Services LLC.
• Kmu Wellness LLC
• Isaia Kristen Knight
• Nali Knight

• Dental Clinic/Center in Duluth, GA
• Providers in Duluth, 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 Jun 7, 2021; 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.