Smile Source Atlanta East is a Dental Clinic in Stone Mountain, Georgia. It is located at 1147 S Hairston Rd Ste A, Stone Mountain, GA and its contact number is 678-515-4200. The authorized person for Smile Source Atlanta East is Mrs. Keonka M Williams
who is Business Manager of the clinic and their contact number is 404-897-1699. Smile Source Atlanta East Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Smile Source Atlanta East Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Smile Source Atlanta East
Specialization:
General Practice Dentistry
Clinic Address:
1147 S Hairston Rd Ste A, Stone Mountain, Georgia, 30088-2757
Phone:
678-515-4200
Fax:
678-515-4201
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Mrs. Keonka M Williams
Position:
Business Manager
Contact Number:
404-897-1699
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Smile Source Atlanta East clinic are as mentioned below.
NPI Number:
1518622869
NPI Enumeration Date:
02 Nov, 2021
NPI Last Update On:
02 Nov, 2021
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Smile Source Atlanta East are as mentioned below.
Specialization
License Number
State
Status
General Practice
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
DN122249
Other
Georgia
Ga Board Of Dentitstry
DN011069
Other
Georgia
Ga Board Of Dentistry
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Smile Source Atlanta East 1100 Peachtree St Ne Ste 680, Atlanta, Georgia
Zip:
30309-4516
Phone Number:
404-897-1699
Fax Number:
404-897-1599
Patients can reach Smile Source Atlanta East at 1147 S Hairston Rd Ste A, Stone Mountain, Georgia or can call to book an appointment on 678-515-4200. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.