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General NPI Number Information
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NPI Number | 1902725021
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Entity Type | Organization
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Legal Business Name | GEORGIA SMILE TEAM OF ALPHARETTA, LLC
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Dates
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Enumeration Date | 07/13/2026
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Last Update Date | 07/13/2026
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Provider Practice Location Address
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Address Line | 5230 MCGINNIS FERRY RD # 10A
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City | ALPHARETTA
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State | GA
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Zip | 30005-3921
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Country | US
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Telephone | 678-527-1130
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Fax | 770-643-2747
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Provider Business Mailing Address
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Address Line | 5230 MCGINNIS FERRY RD # 10A
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City | ALPHARETTA
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State | GA
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Zip | 30005-3921
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Country | US
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Telephone | 678-527-1130
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Fax | 770-643-2747
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Authorized Official
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Title or Position | OWNER
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Name | EUGENE WITKIN
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Credential | DDS
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Telephone | 678-527-1130
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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