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SPARKLING SMILES FAYETTEVILLE LLC
NPI 1508549932
Dentist in Fayetteville, GA

Active since August 11, 2023
1233 HIGHWAY 54 W STE 100, FAYETTEVILLE, GA 30214(770) 461-6465 Get Directions Write a Review

NPPES record last updated: August 11, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Sparkling Smiles Fayetteville Llc NPPES

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

SPARKLING SMILES FAYETTEVILLE LLC (NPI 1508549932) is a healthcare organization registered as a dentist in Fayetteville, Georgia and active in the NPI registry since August 2023. The organization lists Michael Cole, Vp Insurance Plan Management, as its authorized official.

NPPES Registry Identity

NPI1508549932
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameSPARKLING SMILES FAYETTEVILLE LLC
Location Address1233 HIGHWAY 54 W STE 100Fayetteville, GA 30214-4542
Mailing Address1233 Highway 54 W Ste 100Fayetteville, GA 30214-4542 · (770) 461-6465
Phone(770) 461-6465
Organization SubpartNo
Authorized OfficialMichael ColeVp Insurance Plan Management · (727) 424-2990
Enumeration DateAugust 11, 2023
NPPES CertifiedAugust 11, 2023
✔ NPI 1508549932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

1233 HIGHWAY 54 W STE 100, Fayetteville, GA 30214
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Other Names 1

Other NameDental Care Alliance

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LAUREN LEE POLITO D.M.D
Dentist
1233 HIGHWAY 54 W STE 100
FAYETTEVILLE, GA 30214
Fayette County (770) 461-6465

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 Sparkling Smiles Fayetteville LLC's NPI number?

The NPI number for Sparkling Smiles Fayetteville LLC is 1508549932. It was assigned to this organization in the NPPES registry on August 11, 2023.

Where is Sparkling Smiles Fayetteville LLC located?

Sparkling Smiles Fayetteville LLC is located at 1233 Highway 54 W Ste 100, Fayetteville, GA 30214. The listed phone number is (770) 461-6465.

What is Sparkling Smiles Fayetteville LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Sparkling Smiles Fayetteville LLC was last updated on August 11, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.