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SMILE MISSION FAYETTEVILLE LLC
NPI 1376436154
Clinic/Center - Dental in Fayetteville, GA

Active since May 31, 2025
655 N JEFF DAVIS DR, FAYETTEVILLE, GA 30214(786) 701-8246 Get Directions Write a Review

NPPES record last updated: May 31, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Smile Mission Fayetteville Llc NPPES

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

SMILE MISSION FAYETTEVILLE LLC (NPI 1376436154) is a healthcare organization registered as a dental in Fayetteville, Georgia and active in the NPI registry since May 2025. The organization lists Dustin Pfundheller, Manager, as its authorized official.

NPPES Registry Identity

NPI1376436154
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameSMILE MISSION FAYETTEVILLE LLC
Location Address655 N JEFF DAVIS DRFayetteville, GA 30214-1649
Mailing Address9900 Sw 168th St Ste 1Miami, FL 33157-4378 · (786) 701-8246
Phone(786) 701-8246
Organization SubpartNo
Authorized OfficialDustin PfundhellerManager · (786) 701-8246
Enumeration DateMay 31, 2025
NPPES CertifiedMay 31, 2025
✔ NPI 1376436154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
655 N JEFF DAVIS DR, Fayetteville, GA 30214
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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 Smile Mission Fayetteville LLC's NPI number?

The NPI number for Smile Mission Fayetteville LLC is 1376436154. It was assigned to this organization in the NPPES registry on May 31, 2025.

Where is Smile Mission Fayetteville LLC located?

Smile Mission Fayetteville LLC is located at 655 N Jeff Davis Dr, Fayetteville, GA 30214. The listed phone number is (786) 701-8246.

What is Smile Mission Fayetteville LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Smile Mission Fayetteville LLC was last updated on May 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.