MEDICARE: SMALL SMILES OF ATLANTA, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1497720007
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SMALL SMILES OF ATLANTA, INC

Provider Business Mailing Address
First Line	:	16 ARCADE UNIT 198747
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37219-1994
Country	:	US
Telephone Number	:	615-750-0343
Fax Number	:	615-986-1705

Provider Business Practice Location Address
First Line	:	3050 MARTIN LUTHER KING JR DR SW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30311-1500
Country	:	US
Telephone Number	:	404-696-3163
Fax Number	:	404-696-3165

Authorized Official
Title or Position	:	MANAGER, LICENSING & CREDENTIALING
Name	:	MS. JENELL STRINGER
Credential	:
Telephone Number	:	615-750-0343

Provider Enumeration Date	:	02/18/2006
Last Update Date	:	06/03/2013

Similar Medicare Providers

1609841204 — KAMILI J WILLIS
Practice Location Address:

3050 MARTIN LUTHER KING JR DR SW
ATLANTA, GA
30311-1500

Practice Phone: 404-696-3163
Practice Fax:

1730154964 — RITA F RAMEY DDS
Practice Location Address:

3050 MARTIN LUTHER KING JR DR SW , STE A
ATLANTA, GA
30311-1500

Practice Phone: 404-696-3163
Practice Fax: 404-696-3165

1437125879 — ANNA J KUNZE DDS
Practice Location Address:

3050 MARTIN LUTHER KING JR DR SW STE A
ATLANTA, GA
30311-1500

Practice Phone: 404-696-3163
Practice Fax:

1992819072 — TRANS ALLIANCE LAB
Practice Location Address:

3050 MARTIN LUTHER KING JR DR SW STE H
ATLANTA, GA
30311-1500

Practice Phone: 404-699-9000
Practice Fax: 404-699-9111

1710094438 — LAUREN ANN PARKER DDS
Practice Location Address:

3050 MARTIN LUTHER KING JR DR SW , SUITE A
ATLANTA, GA
30311-1500

Practice Phone: 404-696-3163
Practice Fax:

1356432074 — SHEILA C EDELSON
Practice Location Address:

3050 MARTIN LUTHER KING JR DR SW , SUITE A
ATLANTA, GA
30311-1500

Practice Phone: 404-696-3163
Practice Fax:

Directions to “SMALL SMILES OF ATLANTA, INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.