Southern Smiles Orthodontics, LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

SOUTHERN SMILES ORTHODONTICS, LLC

Doing business as

Southern Smiles Orthodontics

Practice address

7475 Douglas Blvd Ste 201
Douglasville, GA 30135-1519

Phone

(770) 942-4100

NPI assigned

Jan 17, 2025

Organization subpart

No

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

Authorized official

Name

Cassandra Wieth

Title

Payor Relations Manager

Phone

(440) 563-8819

Specialties & licenses 1

Addresses

Other names 1

• Southern Smiles Orthodontics Doing business as

Locations

Practitioners 1

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

• Brian A Smith, DMD,P.C

  • General Practice Dentistry
  • Tyrone, GA
  • NPI 1487727012
  NPD

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

{
    "created_epoch": "1737072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737072000000",
    "number": "1619788676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7475 DOUGLAS BLVD STE 201",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301351519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7475 DOUGLAS BLVD STE 201",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301351519",
            "telephone_number": "770-942-4100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4720 Jonesboro Rd",
            "address_purpose": "LOCATION",
            "city": "Union City",
            "state": "GA",
            "postal_code": "302911994",
            "country_code": "US",
            "telephone_number": "770-969-6444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTHERN SMILES ORTHODONTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-17",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A",
        "authorized_official_last_name": "WIETH",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_title_or_position": "PAYOR RELATIONS MANAGER",
        "authorized_official_telephone_number": "440-563-8819"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Smiles Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sophakhonterry Son
• Chris Sonnedecker
• Celine Soodeen, RBT
• Floyd Soucy
• Southern Nephrology Clinic LLC
• Southland Healthcare Services, Inc. (Beltone Hearing Center)
• Todd Randall Spake, BS
• Taylor Spann, MD
• Speaking Life 2 You Resource Center, LLC
• Praysha Renee Spearman, LMFT

• Orthodontics and Dentofacial Orthopedics Dentistry in Douglasville, GA
• Providers in Douglasville, GA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.