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IDEALSMILE
NPI 1710130455
Clinic/Center - Dental in Columbus, GA

Active since October 28, 2008
2501 WHITTLESEY BLVD, SUITE B, COLUMBUS, GA 31909(706) 257-7374(706) 257-7379 Get Directions Write a Review

NPPES record last updated: October 28, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Idealsmile NPPES

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

IDEALSMILE (NPI 1710130455) is a healthcare organization registered as a dental in Columbus, Georgia and active in the NPI registry since October 2008. The organization lists Jae H Ham, President, as its authorized official.

NPPES Registry Identity

NPI1710130455
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameIDEALSMILE
Location Address2501 WHITTLESEY BLVD, SUITE BColumbus, GA 31909-3031
Mailing Address2501 Whittlesey Blvd, Suite BColumbus, GA 31909-3031 · (706) 257-7374 · Fax (706) 257-7379
Phone(706) 257-7374
Fax(706) 257-7379
Organization SubpartNo
Authorized OfficialJae H HamPresident · (706) 257-7374
Enumeration DateOctober 28, 2008
✔ NPI 1710130455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in GA · DN013040
2501 WHITTLESEY BLVD, Columbus, GA 31909
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Other Identifiers 2

Medicaid561235509CGA
Medicaid626075029CGA

Other Providers at the Same Location NPPES

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

MATTHEW BARRETT
Optometrist
2501 WHITTLESEY BLVD, SUITE A
COLUMBUS, GA 31909
Muscogee County (706) 507-3937

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 Idealsmile's NPI number?

The NPI number for Idealsmile is 1710130455. It was assigned to this organization in the NPPES registry on October 28, 2008.

Where is Idealsmile located?

Idealsmile is located at 2501 Whittlesey Blvd Suite B, Columbus, GA 31909. The listed phone number is (706) 257-7374.

What is Idealsmile'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 Idealsmile was last updated on October 28, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.