L R SMILES OF MARIETTA, LLC – NPI #1003679739
Clinic/Center

L R SMILES OF MARIETTA, LLC is an AHC clinic located in MARIETTA, GA. NPPES has assigned the NPI number 1003679739 to L R SMILES OF MARIETTA, LLC on February 05, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for L R SMILES OF MARIETTA, LLC below.

NPI Profile for
L R SMILES OF MARIETTA, LLC

NPI Number
1003679739
Enumeration Date

(more than 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
L R SMILES OF MARIETTA, LLC
Primary location
3698 LARGENT WAY SUITE 202
MARIETTA, GA 30064
Phone: (770) 423-4900 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
NERALAGADDE PRASAD
MEMBER
Phone: (734) 644-7377
Updated
Certification Date
Feb 05, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.