Healthcare Provider Details

I. General information

NPI: 1487569521
Provider Name (Legal Business Name): SOMETHING 2 SMILE ABOUT LTD CO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5745 OLD WINDER HWY STE E
BRASELTON GA
30517-1637
US

IV. Provider business mailing address

5745 OLD WINDER HWY STE E
BRASELTON GA
30517-1637
US

V. Phone/Fax

Practice location:
  • Phone: 770-843-0571
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. DANIELLE ROBERTS
Title or Position: OWNER
Credential: DMD
Phone: 770-843-0571