SOUTHERN SMILES ORTHODONTICS, LLC
NPI 1619788676
Dentist - Orthodontics and Dentofacial Orthopedics in Douglasville, GA

Active since January 17, 2025
7475 DOUGLAS BLVD STE 201, DOUGLASVILLE, GA 30135(770) 942-4100 Get Directions Write a Review

NPPES record last updated: January 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Southern Smiles Orthodontics, Llc NPPES

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

SOUTHERN SMILES ORTHODONTICS, LLC (NPI 1619788676), doing business as Southern Smiles Orthodontics, is a healthcare organization registered as an orthodontics and dentofacial orthopedics in Douglasville, Georgia and active in the NPI registry since January 2025. The organization maintains a secondary practice location in Union City and lists Cassandra Wieth, Payor Relations Manager, as its authorized official.

NPPES Registry Identity

NPI1619788676
Entity TypeOrganization
Primary Taxonomy1223X0400X
Legal Business NameSOUTHERN SMILES ORTHODONTICS, LLC
Location Address7475 DOUGLAS BLVD STE 201Douglasville, GA 30135-1519
Mailing Address7475 Douglas Blvd Ste 201Douglasville, GA 30135-1519
Organization SubpartNo
Authorized OfficialCassandra WiethPayor Relations Manager · (440) 563-8819
Enumeration DateJanuary 17, 2025
NPPES CertifiedJanuary 17, 2025
NPI 1619788676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
7475 DOUGLAS BLVD STE 201, Douglasville, GA 30135

Other Names 1

Doing Business AsSouthern Smiles Orthodontics

Secondary Practice Location 1

Location 14720 Jonesboro RdUnion City, GA 30291-1994 · Phone (770) 969-6444

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 Southern Smiles Orthodontics, LLC's NPI number?

The NPI number for Southern Smiles Orthodontics, LLC is 1619788676. It was assigned to this organization in the NPPES registry on January 17, 2025. The provider is doing business as Southern Smiles Orthodontics.

Where is Southern Smiles Orthodontics, LLC located?

Southern Smiles Orthodontics, LLC is located at 7475 Douglas Blvd Ste 201, Douglasville, GA 30135. The listed phone number is (770) 942-4100.

What is Southern Smiles Orthodontics, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

When was this NPI record last updated?

The NPPES record for Southern Smiles Orthodontics, LLC was last updated on January 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.