Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SPARKLING SMILES FAYETTEVILLE LLC
NPI 1508549932
Dentist in Fayetteville, GA

Q: 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.

Q: What is Sparkling Smiles Fayetteville LLC's specialty?

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

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: July 20, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 20, 2026, Aug 11, 2023 (2 updates tracked since 2023).

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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 Victoria Johnson, Cro, 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 OfficialVictoria JohnsonCro · (941) 444-0558

Enumeration DateAugust 11, 2023

Last NPPES UpdateJuly 20, 20262 updates tracked since enumeration

NPPES CertifiedJuly 20, 2026

✔ 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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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 July 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.