Shining Smiles Family Dentistry

Primary specialty

DentistTaxonomy code 122300000X

License

DN013834 Issued in GA

Legal business name

SHINING SMILES FAMILY DENTISTRY

Practice address

5041 Dallas Hwy BLDG 1E
Powder Springs, GA 30127-6424

Phone

(770) 420-8550

Fax

(770) 420-8544

NPI assigned

Aug 24, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Shaila Mohip Chahwala, DDS

Title

Owner

Phone

(678) 469-3064

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.

• Faith C Drennon, DMD

  • Pediatric Dentistry
  • Newport, RI
  • NPI 1225112956
  NPD (past)

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

{
    "created_epoch": "1471996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471996800000",
    "number": "1659826196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5041 DALLAS HWY BLDG 1E",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301276424",
            "telephone_number": "770-420-8550",
            "fax_number": "770-420-8544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5041 DALLAS HWY BLDG 1E",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301276424",
            "telephone_number": "770-420-8550",
            "fax_number": "770-420-8544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINING SMILES FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-24",
        "last_updated": "2016-08-24",
        "status": "A",
        "authorized_official_last_name": "CHAHWALA",
        "authorized_official_first_name": "SHAILA",
        "authorized_official_middle_name": "MOHIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-469-3064",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN013834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leila M Serrano
• Cathy Sharp, LPC
• Tashawna Rashonne Shaw
• Kaila Shepherd
• Grachelle Alyce Sherburne, LCSW
• Shining Stars Home Care LLC
• Signature Transport
• Silverdove Healthservices LLC
• Sylvia Michelle Simms, RPH
• Hawa Sissoko

• Dentist in Powder Springs, GA
• Providers in Powder Springs, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2016; 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.