Active NPI
Smile Magic
- Pediatric Dentistry
- Alpharetta, GA
National Provider Identifier
1700126398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DN012444
- Legal business name
- SMILE MAGIC
- Practice address
- 2880 Old Alabama Rd
Suite 400
Alpharetta, GA 30022-5051 - Phone
- (770) 480-3751
- NPI assigned
- Feb 19, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Deanna Maguire
- Title
- Office Manager
- Phone
- (770) 480-3751
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DN012444 | GA | Primary |
Addresses
Primary practice location
2880 Old Alabama Rd
Suite 400
Alpharetta, GA 30022-5051
Mailing address
2880 Old Alabama Rd
Suite 400
Alpharetta, GA 30022-5051
Phone (770) 480-3751
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DN012444 | Other | GA | GEORGIA STATE DENTAL LICENSE |
| DN012634 | Other | GA | GEORGIA STATE DENTAL LICENSE |
National Provider Directory
National Provider DirectoryLocations
2880 Old Alabama Rd
Ste 400
Johns Creek, GA 30022
Phone (678) 240-2777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361232000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1361232000000",
"number": "1700126398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2880 OLD ALABAMA RD",
"address_2": "SUITE 400",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300225051",
"telephone_number": "770-480-3751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2880 OLD ALABAMA RD",
"address_2": "SUITE 400",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300225051",
"telephone_number": "770-480-3751"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMILE MAGIC",
"organizational_subpart": "NO",
"enumeration_date": "2013-02-19",
"last_updated": "2013-02-19",
"status": "A",
"authorized_official_last_name": "MAGUIRE",
"authorized_official_first_name": "DEANNA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "770-480-3751"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "GA",
"license": "DN012444",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEORGIA STATE DENTAL LICENSE",
"identifier": "DN012444",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEORGIA STATE DENTAL LICENSE",
"identifier": "DN012634",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alpharetta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.