Active NPI
Smile Center of Dalton LLC
- Dentist
- Dalton, GA
National Provider Identifier
1417260670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN008003
- Legal business name
- SMILE CENTER OF DALTON LLC
- Practice address
- 328 Northgate Dr
Dalton, GA 30721-8680 - Phone
- (706) 279-1802
- Fax
- (706) 279-1803
- NPI assigned
- Jul 16, 2010
- Last updated
- Jul 18, 2010
- 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. Jim Franklin Cole, D.D.S.
- Title
- Co-Owner
- Phone
- (404) 513-1573
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 |
|---|---|---|---|---|
| Dentist | 122300000X | DN008003 | GA | Primary |
Addresses
Primary practice location
328 Northgate Dr
Dalton, GA 30721-8680
Mailing address
510 S Keeler Woods Dr NW
Marietta, GA 30064-2027
Phone (404) 513-1573
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 590023714A | Medicaid | GA |
National Provider Directory
National Provider DirectoryLocations
328 Northgate Dr
Dalton, GA 30721
Phone (706) 279-1802
Practitioners & affiliated clinicians
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.
-
- Dentist
- Marietta, GA
- NPI 1831308501
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279238400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1279411200000",
"number": "1417260670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 S KEELER WOODS DR NW",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300642027",
"telephone_number": "404-513-1573",
"fax_number": "770-452-3678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "328 NORTHGATE DR",
"city": "DALTON",
"state": "GA",
"postal_code": "307218680",
"telephone_number": "706-279-1802",
"fax_number": "706-279-1803"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMILE CENTER OF DALTON LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-07-16",
"last_updated": "2010-07-18",
"status": "A",
"authorized_official_last_name": "COLE",
"authorized_official_first_name": "JIM",
"authorized_official_middle_name": "FRANKLIN",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "404-513-1573",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "DN008003",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "590023714A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dalton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.