Healthcare Provider Details
I. General information
NPI: 1982723045
Provider Name (Legal Business Name): RIGHT SMILE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/28/2007
Last Update Date: 05/03/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
290 CARPENTER DRIVE SUITE A BLDG 200
SANDY SPRINGS GA
30328
US
IV. Provider business mailing address
290 CARPENTER DRIVE SUITE A BLDG 200
SANDY SPRINGS GA
30328
US
V. Phone/Fax
- Phone: 404-256-3620
- Fax: 404-256-1894
- Phone: 404-256-3620
- Fax: 404-256-1894
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 122300000X |
| Taxonomy | Dentist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1223P0700X |
| Taxonomy | Prosthodontics |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
NOVY
P
SCHEINFELD
Title or Position: OWNER
Credential: DDS PC
Phone: 404-256-3620