FABULOUS SMILES OF ATLANTA LLC
NPI 1962660555
Preferred Provider Organization in Atlanta, GA

Active since May 30, 2008
1188 RALPH DAVID ABERNATHY BLVD SW, SUITE 101, ATLANTA, GA 30310(404) 758-0770 Get Directions Write a Review

NPPES record last updated: May 30, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Fabulous Smiles Of Atlanta Llc NPPES

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

FABULOUS SMILES OF ATLANTA LLC (NPI 1962660555) is a healthcare organization registered as a preferred provider organization in Atlanta, Georgia and active in the NPI registry since May 2008. The organization lists Danielle Denise Greene, President, as its authorized official.

NPPES Registry Identity

NPI1962660555
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NameFABULOUS SMILES OF ATLANTA LLC
Location Address1188 RALPH DAVID ABERNATHY BLVD SW, SUITE 101Atlanta, GA 30310-1754
Mailing Address1188 Ralph David Abernathy Blvd Sw, Suite 101Atlanta, GA 30310-1754 · (404) 758-0770
Organization SubpartNo
Authorized OfficialDanielle Denise GreenePresident · (404) 758-0770
Enumeration DateMay 30, 2008
NPI 1962660555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
License Licensed in GA · 011973
Definition

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

1188 RALPH DAVID ABERNATHY BLVD SW, Atlanta, GA 30310

Other Identifiers 1

Medicaid00814965CGA

Accepted Insurance

Other Providers at the Same Location NPPES 6

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

Clinic/Center (Federally Qualified Health Center (FQHC))
1188 RALPH DAVID ABERNATHY BLVD SW
ATLANTA, GA 30310
Dentist (General Practice)
1188 RALPH DAVID ABERNATHY BLVD SW, SUITE 101
ATLANTA, GA 30310
Dental Hygienist
1188 RALPH DAVID ABERNATHY BLVD SW
ATLANTA, GA 30310
Optometrist
1188 RALPH DAVID ABERNATHY BLVD SW, SUITE 110
ATLANTA, GA 30310
Clinic/Center
1188 RALPH DAVID ABERNATHY BLVD SW
ATLANTA, GA 30310
Dentist
1188 RALPH DAVID ABERNATHY BLVD SW, #101
ATLANTA, GA 30310

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 Fabulous Smiles Of Atlanta LLC's NPI number?

The NPI number for Fabulous Smiles Of Atlanta LLC is 1962660555. It was assigned to this organization in the NPPES registry on May 30, 2008.

Where is Fabulous Smiles Of Atlanta LLC located?

Fabulous Smiles Of Atlanta LLC is located at 1188 Ralph David Abernathy Blvd SW Suite 101, Atlanta, GA 30310. The listed phone number is (404) 758-0770.

What is Fabulous Smiles Of Atlanta LLC's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

What insurance does Fabulous Smiles Of Atlanta LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Fabulous Smiles Of Atlanta LLC 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 Fabulous Smiles Of Atlanta LLC was last updated on May 30, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.