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FABULOUS SMILESP.C.
NPI 1235302563
Dentist - General Practice in Atlanta, GA

Active since April 08, 2008
1188 RALPH DAVID ABERNATHY BLVD. SUITE 101, ATLANTA, GA 30310(678) 206-0199(404) 529-4465 Get Directions Write a Review

NPPES record last updated: April 8, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fabulous Smilesp.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FABULOUS SMILESP.C. (NPI 1235302563) is a healthcare organization registered as a general practice in Atlanta, Georgia and active in the NPI registry since April 2008. The organization lists Aldous Wilson, Owner, as its authorized official.

NPPES Registry Identity

NPI1235302563
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameFABULOUS SMILESP.C.
Location Address1188 RALPH DAVID ABERNATHY BLVD. SUITE 101Atlanta, GA 30310
Mailing Address1188 Ralph David Abernathy Blvd. Suite 101Atlanta, GA 30310 · (678) 206-0199 · Fax (404) 529-4465
Phone(678) 206-0199
Fax(404) 529-4465
Organization SubpartNo
Authorized OfficialAldous WilsonOwner · (678) 206-0199
Enumeration DateApril 8, 2008
✔ NPI 1235302563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in GA · DN011947
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1188 RALPH DAVID ABERNATHY BLVD. SUITE 101, Atlanta, GA 30310
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Other Identifiers 1

Medicaid00809025BGA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fabulous Smilesp.C.'s NPI number?

The NPI number for Fabulous Smilesp.C. is 1235302563. It was assigned to this organization in the NPPES registry on April 8, 2008.

Where is Fabulous Smilesp.C. located?

Fabulous Smilesp.C. is located at 1188 Ralph David Abernathy Blvd. Suite 101, Atlanta, GA 30310. The listed phone number is (678) 206-0199.

What is Fabulous Smilesp.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Fabulous Smilesp.C. was last updated on April 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.