Healthcare Provider Details

I. General information

NPI: 1427807551
Provider Name (Legal Business Name): ALL SMILES FAMILY & COSMETIC DENTISTRY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2024
Last Update Date: 05/13/2024
Certification Date: 05/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2770 ATLANTA HWY STE 600
CUMMING GA
30040-6956
US

IV. Provider business mailing address

6440 BEACON STATION DR
CUMMING GA
30041-5035
US

V. Phone/Fax

Practice location:
  • Phone: 470-380-0310
  • Fax:
Mailing address:
  • Phone: 678-447-5829
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. SARAH CATHERINE MILES
Title or Position: DOCTOR
Credential: DMD
Phone: 678-447-5829