Organization · Type 2 NPI
Idealsmile
Dental Clinic/Center · Columbus, GA
NPI number
1710130455
Active
Practice location
2501 Whittlesey Blvd, Suite B
Columbus, GA 31909-3031
Fax (706) 257-7379
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | DN013040 (GA) |
Dental Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1710130455
Idealsmile's National Provider Identifier is 1710130455, issued on Oct 28, 2008. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Columbus, GA. The record was last updated on Oct 28, 2008.