Southern Smile Dental LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SOUTHERN SMILE DENTAL LLC

Practice address

6000 Joe Frank Harris Pkwy NW
Adairsville, GA 30103-2443

Phone

(404) 454-1362

NPI assigned

Oct 6, 2021

Organization subpart

No

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

Authorized official

Name

Maher Bourbia, DDSNPI 1528583499

Title

Dentist

Phone

(404) 454-1362

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maher Bourbia, DDS

  • General Practice Dentistry
  • Smyrna, GA
  • NPI 1528583499
  NPD Authorized official

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

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633478400000",
    "number": "1497417679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 JOE FRANK HARRIS PKWY NW",
            "city": "ADAIRSVILLE",
            "state": "GA",
            "postal_code": "301032443",
            "telephone_number": "404-454-1362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 JOE FRANK HARRIS PKWY NW",
            "city": "ADAIRSVILLE",
            "state": "GA",
            "postal_code": "301032443",
            "telephone_number": "404-454-1362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN SMILE DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-06",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A",
        "authorized_official_last_name": "BOURBIA",
        "authorized_official_first_name": "MAHER",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "404-454-1362",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Quinney
• Hope Sampson, PT
• Sally Jo Sanford, APRN
• Cody Ryan Scoggins
• Deann Shelley
• Jacob Benjamin Stewart, DPT, PT
• Darius Sturkey, FNP-C
• Robert Emmett Sullivan, MD
• Summer Street Community Services, Inc
• Nicole B. Swiger, N.P.

• Dental Clinic/Center in Adairsville, GA
• Providers in Adairsville, 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 6, 2021; 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.