Organization Active NPI

Zale Smilack DDS PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Atlanta, GA
National Provider Identifier
1881668762
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
6913 Issued in GA
Legal business name
ZALE SMILACK DDS PC
Practice address
1150 Hammond Dr
Ste C-3150
Atlanta, GA 30328-8120
Phone
(770) 396-1232
Fax
(770) 393-4136
NPI assigned
Feb 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Zale Harlan Smilack, DDS
Title
Pres
Phone
(770) 396-1232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 6913 GA Primary

Addresses

Primary practice location

1150 Hammond Dr
Ste C-3150
Atlanta, GA 30328-8120

Mailing address

1150 Hammond Dr
Ste C-3150
Atlanta, GA 30328-8120
Phone (770) 396-1232

National Provider Directory

National Provider Directory

Locations

755 Mount Vernon Hwy NE
Ste 430
Sandy Springs, GA 30328
Phone (404) 303-9945

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881668762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 HAMMOND DR",
            "address_2": "STE C-3150",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303288120",
            "telephone_number": "770-396-1232",
            "fax_number": "770-393-4136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 HAMMOND DR",
            "address_2": "STE C-3150",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303288120",
            "telephone_number": "770-396-1232",
            "fax_number": "770-393-4136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZALE SMILACK DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMILACK",
        "authorized_official_first_name": "ZALE",
        "authorized_official_middle_name": "HARLAN",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "770-396-1232",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "GA",
            "license": "6913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.