Organization · Type 2 NPI

Smile Mission Fayetteville LLC

Dental Clinic/Center · Fayetteville, GA

NPI number 1376436154 Active

Practice location

655 N Jeff Davis Dr
Fayetteville, GA 30214-1649

Mailing address

9900 SW 168th St Ste 1
Miami, FL 33157-4378

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

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About NPI 1376436154

Smile Mission Fayetteville LLC's National Provider Identifier is 1376436154, issued on May 31, 2025. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Fayetteville, GA. The record was last updated on May 31, 2025.