Active NPI
Smile 365 Dental
- General Practice Dentistry
- Marietta, GA
National Provider Identifier
1386413854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- SMILE 365 DENTAL
- Practice address
- 2100 Roswell Rd Ste 2208
Marietta, GA 30062-0878 - Phone
- (470) 523-8017
- NPI assigned
- Dec 26, 2023
- 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
- William Alexander, DDS
- Title
- Owner
- Phone
- (410) 662-2080
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
2100 Roswell Rd Ste 2208
Marietta, GA 30062-0878
Mailing address
2100 Roswell Rd Ste 2208
Marietta, GA 30062-0878
Phone (470) 523-8017
National Provider Directory
National Provider DirectoryLocations
2100 Roswell Rd
Ste 2208
Marietta, GA 30062
Phone (470) 523-8017
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
- Atlanta, GA
- NPI 1528268786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1703548800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1703548800000",
"number": "1386413854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 ROSWELL RD STE 2208",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300620878",
"telephone_number": "470-523-8017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 ROSWELL RD STE 2208",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300620878",
"telephone_number": "470-523-8017"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMILE 365 DENTAL",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-26",
"last_updated": "2023-12-26",
"certification_date": "2023-12-26",
"status": "A",
"authorized_official_last_name": "ALEXANDER",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "410-662-2080",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.