MEDICARE: TRAVELING SMILES

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	122300000X	Dentist

General Provider Information

NPI Number	:	1639016355
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRAVELING SMILES

Provider Business Mailing Address
First Line	:	730 PEACHTREE ST NE STE 570
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30308-1244
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3610 PIEDMONT RD. NE SUITE 200
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30305
Country	:	US
Telephone Number	:	470-509-5898
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MANOUCHKA FLEURINORD
Credential	:	DDS
Telephone Number	:	470-509-5898

Provider Enumeration Date	:	04/30/2026
Last Update Date	:	04/30/2026

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Directions to “TRAVELING SMILES ” Practice Location

Language	Start Address	Practice Location

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