Smile Mission Georgia LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SMILE MISSION GEORGIA LLC

Practice address

4330 S Lee St
Buford, GA 30518-3072

Phone

(786) 701-8246

NPI assigned

May 31, 2025

Organization subpart

No

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

Authorized official

Name

Dustin Pfundheller

Title

Manager

Phone

(786) 701-8246

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1748649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748649600000",
    "number": "1467345249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 SW 168TH ST STE 1",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331574378",
            "telephone_number": "786-701-8246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4330 S LEE ST",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305183072",
            "telephone_number": "786-701-8246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE MISSION GEORGIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-31",
        "last_updated": "2025-05-31",
        "certification_date": "2025-05-31",
        "status": "A",
        "authorized_official_last_name": "PFUNDHELLER",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "786-701-8246"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harvey P Simon, D.M.D.
• Simply Speech of Georgia
• Rene E Simpson, B.S. PHARM
• Elijah William Sims
• Rah Ashe Singleton, LPC, NCC
• Smile Studio of Buford, LLC
• Alison Skillman Smith, LPC
• Bree Smith
• Brittney Marie Smith, PHARMD.
• Carmen Smith, LPN

• Dental Clinic/Center in Buford, GA
• Providers in Buford, 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 May 31, 2025; 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.