BEAUTIFUL SMILES OF FAYETTEVILLE


Address: 719 Lanier Ave W Ste A1, Fayetteville, GA 30214-7634
Phone: 4046966595

BEAUTIFUL SMILES OF FAYETTEVILLE (NPI# 1972973766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972973766
Entity Type Organization
Organization Name BEAUTIFUL SMILES OF FAYETTEVILLE
Other Organization Name TRINITY PEDIATRIC DENTISTRY
Practice Address 719 Lanier Ave W Ste A1
Fayetteville
GA 30214-7634
Mailing Address 719 W. Lanier Avenue Suite A1
Fayetteville
GA 30214
Practice Telephone 4046966595
Enumeration Date 2015-10-06
Last Update Date 2015-10-06
Authorized Official Name DR. PAUL MCKOY (CFO)
Authorized Official Telephone 4046966595
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist Dental Providers

Other Provider/Organization Names

Other Name Type Code
Trinity Pediatric Dentistry Doing Business As Name - Organization

Office Location

Street Address 719 LANIER AVE W STE A1
City FAYETTEVILLE
State GA
Zip Code 30214-7634

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548872468 Phyllis Kelly Wood Nurse Practitioner 217 Banks Rd, Suite 31, Fayetteville, GA 30214 2020-08-21
1073139317 Tyisha Salter Scott Counselor 110 Habersham Drive, Suite 142, Fayetteville, GA 30214 2020-06-23
1194341412 Camille Franncine Bolton Physical Therapist 500 Floy Farr Parkway, Suite 303, Fayetteville, GA 30214 2020-06-23
1205465895 Gillian Vaughan Heard Physician Assistant 1275 Ga-54 #201, Fayetteville, GA 30214 2020-04-06
1881234557 Peach Fits,inc Mastectomy Fitter 285 Glynn Street South, Suites 102 and 104, Fayetteville, GA 30214 2020-01-10
1255981072 Delta Healthcare Providers Clinic/Center 1275 W Lanier Ave, #200, Fayetteville, GA 30214 2019-09-13
1861965592 Hierarchy for Wellness Specialist 805 S Glynn St Bldg 127 142, Fayetteville, GA 30214 2019-01-04
1356810634 Fayette Dental Group PC Clinic/Center 720 W Lanier Ave, Fayetteville, GA 30214 2018-11-16
1891263299 Mattie Mae Farmer Clark Specialist/Technologist, Other Piedmont Fayette Hospital, 1255 Highway 54 West, Fayetteville, GA 30214 2018-11-05
1093293607 Allyson Holland Pharmacist 880 Highway 85 South, Fayetteville, GA 30214 2018-08-06
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962014696 Neko Lynn Webb Dentist 2050 Skibo Rd Ste 104, Fayetteville, NC 28314-3161 2020-08-24
1225529605 Alterman & Dhillon Eastern Nc, Pplc Dentist 4251 Ramsey St Ste 8&9, Fayetteville, NC 28311-2130 2018-05-22
1093217184 Brandon Murray Dentist 2935 Breezewood Ave Ste 200, Fayetteville, NC 28303-5498 2018-03-05
1831641877 Ryan Bradley Dentist 3500 Black Forest Dr Ste 1, Fayetteville, AR 72704-6551 2016-10-25
1750834255 Sharitha Anderson Dentist 117 Pavilion Pkwy Ste 15c, Fayetteville, GA 30214-7732 2016-08-01
1992163901 Dr Don M Chaney Dds Pa Dentist 1826 N. Crossover Road, Suite 2, Fayetteville, AR 72701 2016-02-04
1962870030 Matthew Christian Alvarez Dentist 113 Ebenezer Rd Ste 101, Fayetteville, GA 30215 2015-09-08
1053795336 Knowles, Smith & Associates, LLP Dentist 2028 Litho Pl Ste 300, Fayetteville, NC 28304-2538 2015-07-16
1952784159 Christina Walls Dentist 637 E Joyce Blvd, #120, Fayetteville, AR 72703-6189 2015-07-07
1174916902 Tan Binh Nguyen, Dds II, Pllc Dentist 5511 Raeford Rd Ste 225, Fayetteville, NC 28304-2060 2015-03-18
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Competitor

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City FAYETTEVILLE
Zip Code 30214

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Dataset Information

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.

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