Organization · Type 2 NPI

Fabulous Smiles of Lilburn

Point of Service · Lilburn, GA

NPI number 1205211133 Active

Practice location

331 Arcado Rd NW
Lilburn, GA 30047-3077

Fax (404) 420-2951

Specialties and licenses

TaxonomyCodeLicense
Point of Service Primary 305S00000XDN011973 (GA)

Point of Service: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

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About NPI 1205211133

Fabulous Smiles of Lilburn's National Provider Identifier is 1205211133, issued on Jul 21, 2015. The primary taxonomy on file is Point of Service (305S00000X), and the practice location is in Lilburn, GA. The record was last updated on Jul 21, 2015.