Smile Innovations

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN012235 Issued in GA

Legal business name

SMILE INNOVATIONS

Practice address

10230 Ford Ave
Richmond Hill, GA 31324-8854

Phone

(912) 756-2936

Fax

(912) 756-2931

NPI assigned

May 1, 2007

Organization subpart

No

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

Authorized official

Name

Philip Copenhaver, DDS

Title

Dentist

Phone

(912) 756-2936

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200268800000",
    "number": "1407077415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10230 FORD AVE",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313248854",
            "telephone_number": "912-756-2936",
            "fax_number": "912-756-2931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10230 FORD AVE",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313248854",
            "telephone_number": "912-756-2936",
            "fax_number": "912-756-2931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE INNOVATIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2008-01-14",
        "status": "A",
        "authorized_official_last_name": "COPENHAVER",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "912-756-2936",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN012235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Lee Sirmans, MD
• Robert Shelton Sizemore III, FNP
• Makayla Skinner
• Steven Slack, PHARMD
• Tekelia Sloan, SLP
• Odetta Smiley, PSYD, LPC, CCMHC,MAC
• Carolyn Smith
• Dawana D. Smith
• Elisha Smith
• Erika Yvonne Smith, LPN

• General Practice Dentistry in Richmond Hill, GA
• Providers in Richmond Hill, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; 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.