Smile 23 Georgia LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SMILE 23 GEORGIA LLC

Practice address

2265 Cascade Rd SW
Atlanta, GA 30311-2861

Phone

(404) 755-8539

NPI assigned

Dec 29, 2021

Organization subpart

No

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

Authorized official

Name

Trevor Tune

Title

Cdo

Phone

(636) 233-1882

Specialties & licenses 1

Addresses

Tax ID family

Buckhead Periodontics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Smile 23 Georgia LLC

  • Periodontics
  • Atlanta, GA
  • NPI 1457019515
  NPD tax ID

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

{
    "created_epoch": "1640736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640736000000",
    "number": "1972263119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2265 CASCADE RD SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303112861",
            "telephone_number": "404-755-8539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2265 CASCADE RD SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303112861",
            "telephone_number": "404-755-8539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE 23 GEORGIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-29",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A",
        "authorized_official_last_name": "TUNE",
        "authorized_official_first_name": "TREVOR",
        "authorized_official_title_or_position": "CDO",
        "authorized_official_telephone_number": "636-233-1882"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SMH Associates
• Joseph Carl Smiddy, MD
• Gloria V. Smikle, CPNP
• Zale Harlan Smilack, DDS
• Smile 23 Georgia LLC
• Smile 23 of Georgia PC
• Smile Envy PC
• Smile Forever LLC
• Smile League P.C.
• Smile Project Support Services, LLC

• General Practice Dentistry in Atlanta, GA
• Providers in Atlanta, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; 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.