GEORGIA SMILE TEAM, LLC
NPI 1558612465
Dentist - General Practice in Gainesville, GA

Active since October 02, 2012
578 S ENOTA DR NE, GAINESVILLE, GA 30501(770) 536-3254 Get Directions Write a Review

NPPES record last updated: October 2, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Georgia Smile Team, Llc NPPES

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

GEORGIA SMILE TEAM, LLC (NPI 1558612465) is a healthcare organization registered as a general practice in Gainesville, Georgia and active in the NPI registry since October 2012. The organization lists Eugene Witkin, Owner, as its authorized official.

NPPES Registry Identity

NPI1558612465
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameGEORGIA SMILE TEAM, LLC
Location Address578 S ENOTA DR NEGainesville, GA 30501-8947
Mailing Address578 S Enota Dr NeGainesville, GA 30501-8947 · (770) 536-3254
Organization SubpartNo
Authorized OfficialEugene WitkinOwner · (770) 536-3254
Enumeration DateOctober 2, 2012
NPI 1558612465 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 · DN009491
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.

578 S ENOTA DR NE, Gainesville, GA 30501

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

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Dentist (General Practice)
578 S ENOTA DR NE
GAINESVILLE, GA 30501
Dentist
578 S ENOTA DR NE
GAINESVILLE, GA 30501

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1558612465, enumerated as an "organization" on October 02, 2012.

The provider is located at 578 S ENOTA DR NE GAINESVILLE, GA 30501 and the phone number is (770) 536-3254.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter. Please consult your insurance carrier or call the provider to verify.