Smile Wit Confident, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SMILE WIT CONFIDENT, LLC

Practice address

6465 Tara Blvd
Jonesboro, GA 30236-1214

Phone

(770) 629-6222

Fax

(678) 672-3131

NPI assigned

Jul 29, 2019

Organization subpart

No

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

Authorized official

Name

Vicky Munoz

Title

General Manager

Phone

(770) 629-6222

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1982258968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6465 TARA BLVD",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302361214",
            "telephone_number": "770-629-6222",
            "fax_number": "678-672-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6465 TARA BLVD",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302361214",
            "telephone_number": "770-629-6222",
            "fax_number": "678-672-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE WIT CONFIDENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-29",
        "last_updated": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "MUNOZ",
        "authorized_official_first_name": "VICKY",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "770-629-6222"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL INSURANCE",
            "identifier": "052452435",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL INSURANCE",
            "identifier": "DN008017",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vmunoz@damcsmilesudentista.com",
            "affiliation": "Y",
            "endpointDescription": "vmunoz@damcsmilesudentista.com",
            "affiliationName": "D.A.M.C Dental & Medical Resources 1 LLC.,",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6465 Tara Blvd",
            "city": "Jonesboro",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302361214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Suapsan Singhapakdi, MD
• Lavoris Singleton
• Shannon C Skiba, DDS
• Skkppr Enterprises Inc
• Kedric Sledge, LCSW
• Wakisha Evelyn Smith Harvey, LPC
• Smith Transitional and Rehabilitation Services, Inc.
• Chanel Smith-Hopson
• Arzinya Smith
• Chaundrissa Morenike Smith, PHD

• Dental Clinic/Center in Jonesboro, GA
• Providers in Jonesboro, GA by specialty
• Dental Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.