Fabulous Smiles of Atlanta LLC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

011973 Issued in GA

Legal business name

FABULOUS SMILES OF ATLANTA LLC

Practice address

1188 Ralph David Abernathy Blvd SW
Suite 101
Atlanta, GA 30310-1754

Phone

(404) 758-0770

NPI assigned

May 30, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Danielle Denise Greene, DDS

Title

President

Phone

(404) 758-0770

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212105600000",
    "number": "1962660555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1188 RALPH DAVID ABERNATHY BLVD SW",
            "address_2": "SUITE 101",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303101754",
            "telephone_number": "404-758-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1188 RALPH DAVID ABERNATHY BLVD SW",
            "address_2": "SUITE 101",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303101754",
            "telephone_number": "404-758-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FABULOUS SMILES OF ATLANTA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-30",
        "last_updated": "2008-05-30",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-758-0770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "GA",
            "license": "011973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00814965C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamesa Joyelle Fabien, MD
• Rachel Fabiniak, PT, DPT
• Guillem Fabregas Gella
• Jorge Fabregas, MD
• Gail Diane Fabrizio, MS APRN BC
• Fabulous Smiles P.C.
• Fabulous Smiles P.C.
• Fabulous Smilesp.C.
• Kristen Melissa Marie Facey, MD
• Facility Investments, L.P. (Westminster Commons)

• Preferred Provider Organization in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Preferred Provider Organization in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; 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.