Smiles on Peachtree

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN012835 Issued in GA

Legal business name

SMILES ON PEACHTREE

Practice address

3255 Peachtree Rd NE Ste 4
Atlanta, GA 30305-2416

Phone

(404) 841-8668

NPI assigned

Jan 19, 2010

Last updated

Jan 19, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ketankumar G Patel, DMD

Title

President

Phone

(404) 841-8668

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1263859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263859200000",
    "number": "1528399391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3255 PEACHTREE RD NE STE 4",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303052416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3255 PEACHTREE RD NE STE 4",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303052416",
            "telephone_number": "404-841-8668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILES ON PEACHTREE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-19",
        "last_updated": "2010-01-19",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "KETANKUMAR",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-841-8668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN012835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Smile 23 of Georgia PC
• Smile Envy PC
• Smile Forever LLC (Smile Forever Atlanta)
• Smile League P.C. (20/32 Family Dentistry)
• Smile Project Support Services, LLC
• Ashley Park Smiley, PA-C
• Jared Smiley, LPC
• Kayla Bailey Smiley, NP
• Kimberly Smiley, PSY.D.
• William H Smiley, DO

• General Practice Dentistry in Atlanta, GA
• Providers in Atlanta, 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 19, 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.

Verify at the official NPI Registry.