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FAYETTEVILLE SMILES DENTISTRY
NPI 1912303413
Dentist - General Practice in Fayetteville, GA

Active since November 10, 2014
117 PAVILION PKWY, SUITE 15B, FAYETTEVILLE, GA 30214(770) 953-6975(770) 953-6979 Get Directions Write a Review

NPPES record last updated: November 10, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Fayetteville Smiles Dentistry NPPES

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

FAYETTEVILLE SMILES DENTISTRY (NPI 1912303413) is a healthcare organization registered as a general practice in Fayetteville, Georgia and active in the NPI registry since November 2014. The organization lists Katie L Mccann, Owner, as its authorized official.

NPPES Registry Identity

NPI1912303413
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameFAYETTEVILLE SMILES DENTISTRY, PC
Location Address117 PAVILION PKWY, SUITE 15BFayetteville, GA 30214-7732
Mailing Address17000 Red Hill AveIrvine, CA 92614-5626 · (714) 845-8890 · Fax (949) 474-1495
Phone(770) 953-6975
Fax(770) 953-6979
Organization SubpartNo
Authorized OfficialKatie L MccannOwner · (770) 953-6975
Enumeration DateNovember 10, 2014
✔ NPI 1912303413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
117 PAVILION PKWY, Fayetteville, GA 30214
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Other Names 1

Doing Business AsFayetteville Smiles Dentistry

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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.

DR. DARSHAN MAYUR PATEL DMD
Dentist
117 PAVILION PKWY
FAYETTEVILLE, GA 30214
Fayette County (770) 953-6975
DAVID MOTOBAN DDS
Dentist
117 PAVILION PKWY
FAYETTEVILLE, GA 30214
Fayette County (770) 953-6975

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 Fayetteville Smiles Dentistry, PC's NPI number?

The NPI number for Fayetteville Smiles Dentistry, PC is 1912303413. It was assigned to this organization in the NPPES registry on November 10, 2014. The provider is doing business as Fayetteville Smiles Dentistry.

Where is Fayetteville Smiles Dentistry, PC located?

Fayetteville Smiles Dentistry, PC is located at 117 Pavilion Pkwy Suite 15B, Fayetteville, GA 30214. The listed phone number is (770) 953-6975.

What is Fayetteville Smiles Dentistry, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Fayetteville Smiles Dentistry, PC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Fayetteville Smiles Dentistry, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fayetteville Smiles Dentistry, PC was last updated on November 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.