ZALE SMILACK DDS PC (NPI# 1881668762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881668762 |
| Entity Type | Organization |
| Organization Name | ZALE SMILACK DDS PC |
| Practice Address |
1150 Hammond Dr Ste C-3150 Atlanta GA 30328-8120 |
| Practice Telephone | 7703961232 |
| Practice Fax Number | 7703934136 |
| Mailing Telephone | 7703961232 |
| Mailing Fax Number | 7703934136 |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ZALE HARLAN SMILACK (PRES) |
| Authorized Official Telephone | 7703961232 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
6913 | GA | Dental Providers |
| Street Address |
1150 HAMMOND DR STE C-3150 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30328-8120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891796595 | Shane C Mangrum | Physical Medicine & Rehabilitation | 1150 Hammond Dr, Suite 400, Atlanta, GA 30328-5334 | 2005-08-03 |
| 1063947182 | Michael A Bens Dmd PC | Dentist | 1150 Hammond Dr, Suite 225, Atlanta, GA 30328-5334 | 2017-04-26 |
| 1558803486 | North Atlanta Primary Care | Physician Assistant | 1150 Hammond Dr, Atlanta, GA 30328-5334 | 2016-11-09 |
| 1346612009 | Stellar Ambulatory Anesthesia Consultants, LLC | Anesthesiology | 1150 Hammond Dr, Bldg E, Suite 600, Atlanta, GA 30328-5334 | 2015-10-21 |
| 1124034913 | Michael Allen Bens | Dentist | 1150 Hammond Dr, Bldg. E, Suite 225, Atlanta, GA 30328-5334 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467910042 | Amber Andrews | Behavior Technician | 750 Hammond Drive Bldg 7 Suite 100, Atlanta, GA 30328 | 2019-03-04 |
| 1215492830 | Ryan William Dubinin | Behavior Technician | 750 Hammond Drive, Building 7, Suite 100, Atlanta, NJ 30328 | 2019-02-07 |
| 1346710142 | Emily Rose Lloyd Swavely | Speech-Language Pathologist | 5825 Glenridge Rd., Building 1, Suite 133, Atlanta, GA 30328 | 2018-12-05 |
| 1063994481 | Mark Edward Brachmanski | Optometrist | 800 Mount Vernon Highway Ne, Suite 130, Atlanta, GA 30328 | 2018-09-01 |
| 1407352578 | Nina Brown | Massage Therapist | 7100 Peachtree Dunwoody Rd Ste 110, Sandy Springs, GA 30328 | 2018-04-05 |
| 1336657741 | Renee Usher Reeves | Assistant Behavior Analyst | 750 Hammond Dr Building 7, Suite 100, Atlanta, GA 30328 | 2018-01-19 |
| 1487168274 | Patricia Nicole Felder | Student in an Organized Health Care Education/Training Program | 270 Carpenter Dr, Ne, Suite # 400, Atlanta, GA 30328 | 2017-12-01 |
| 1447762927 | Ponders Podiatry LLC | Podiatrist | 275 Carpenter Drive Ne, Suite 106, Atlanta, GA 30328 | 2017-10-24 |
| 1770093601 | Syed M Rasheed | Physician Assistant | 5788 Roswell Rd Ste 100, Atlanta, GA 30328 | 2017-10-05 |
| 1437678190 | Jeanette Denise Jones | Counselor | 270 Carpenter Drive, Suite 400, Sandy Springs, GA 30328 | 2017-09-13 |
| Find all providers in zip 30328 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649740796 | Sandy Springs Oral Surgery, LLC | Dentist | 5555 Peachtree Dunwoody Rd Ste G56, Atlanta, GA 30342-1700 | 2018-12-02 |
| 1245721216 | East Atlanta Oral, Implant and Facial Surgery Center | Dentist | 519 Memorial Dr Se Unit D1, Atlanta, GA 30312-2218 | 2018-05-24 |
| 1497261960 | Rockwell Oral and Facial Surgery LLC | Dentist | 675 N. Highland Ave Ne, Suite 100, Atlanta, GA 30306 | 2017-12-20 |
| 1194271445 | Dina Amin | Dentist | 1365 Clifton,building B, Oral and Maxillofacial Surgery, Suite 2300, Atlanta, GA 30322 | 2016-08-28 |
| 1841697539 | Brittney Barrow | Dentist | 60 11th St Ne Apt 2021, Atlanta, GA 30309-4388 | 2014-11-25 |
| 1083889661 | Amy Diane Kuhmichel | Dentist | 3280 Howell Mill Rd Nw Ste 221, Atlanta, GA 30327-4100 | 2008-04-24 |
| 1255517769 | Abtin Shahriari | Dentist | 182 Robin Hood Rd Ne, Atlanta, GA 30309-2658 | 2008-01-15 |
| 1033153671 | Joyce T Lee | Dentist | 1175 Peachtree St Ne, Suite 1202, Atlanta, GA 30361-6202 | 2006-06-15 |
| 1063471324 | Peachtree Oral & Maxillofacial Surgery Associates | Dentist | 550 Pharr Rd Ne, Suite 325, Atlanta, GA 30305-3428 | 2006-03-23 |
| 1134123524 | Lee Mclean Whitesides | Dentist | 5576 Chamblee-dunwoody Rd, Atlanta, GA 30338 | 2005-06-13 |
| Find all providers in ATLANTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.