RADIANT SMILES DENTAL OF CHAMBLEE LLC – NPI #1255843520
Clinic/Center

RADIANT SMILES DENTAL OF CHAMBLEE LLC is an AHC clinic located in CHAMBLEE, GA. NPPES has assigned the NPI number 1255843520 to RADIANT SMILES DENTAL OF CHAMBLEE LLC on October 26, 2017. 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 RADIANT SMILES DENTAL OF CHAMBLEE LLC below.

NPI Profile for
RADIANT SMILES DENTAL OF CHAMBLEE LLC

NPI Number
1255843520
Enumeration Date

(more than 8 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
RADIANT SMILES DENTAL OF CHAMBLEE LLC
Primary location
4306 N PEACHTREE ROAD
CHAMBLEE, GA 30314
Phone: (770) 455-1400 Fax:
Mailing address
4306 N PEACHTREE RD
CHAMBLEE, GA 30341-1210
Phone: Fax:
Organization Subpart
No
Authorized Official
GRACE MARHIC
MANAGING PARTNER
Phone: (404) 455-1400
Updated
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.