Smile League P.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SMILE LEAGUE P.C.

Doing business as

20/32 Family Dentistry

Practice address

80 Peyton Rd SW
Atlanta, GA 30311-1710

Phone

(678) 732-0411

NPI assigned

Oct 25, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Thaddeus Harvey Jr., DDS

Title

Doctor/Owner

Phone

(202) 380-8828

Specialties & licenses 1

Addresses

Other names 1

• 20/32 Family Dentistry Doing business as

Locations

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

{
    "created_epoch": "1508889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508889600000",
    "number": "1457863961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 BERACAH WALK SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303318514",
            "telephone_number": "202-380-8828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 PEYTON RD SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303111710",
            "telephone_number": "678-732-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE LEAGUE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-25",
        "last_updated": "2017-10-25",
        "status": "A",
        "authorized_official_last_name": "HARVEY",
        "authorized_official_first_name": "THADDEUS",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "202-380-8828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "20/32 Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Smile 23 Georgia LLC (Buckhead Periodontics)
• Smile 23 Georgia LLC
• Smile 23 of Georgia PC
• Smile Envy PC
• Smile Forever LLC (Smile Forever Atlanta)
• Smile Project Support Services, LLC
• Smiles on Peachtree
• Ashley Park Smiley, PA-C
• Jared Smiley, LPC
• Kayla Bailey Smiley, NP

• Dental Clinic/Center in Atlanta, GA
• Providers in Atlanta, 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 Oct 25, 2017; 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.