FABULOUS SMILES PC
NPI 1982930806
Dentist - General Practice in Atlanta, GA

Active since October 28, 2009
1188 RALPH DAVID ABERNATHY BLVD SW STE 101, ATLANTA, GA 30310(404) 767-9356(404) 529-4465 Get Directions Write a Review

NPPES record last updated: October 28, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fabulous Smiles Pc NPPES

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

FABULOUS SMILES PC (NPI 1982930806) is a healthcare organization registered as a general practice in Atlanta, Georgia and active in the NPI registry since October 2009. The organization lists Aldous Wilson, President, as its authorized official.

NPPES Registry Identity

NPI1982930806
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameFABULOUS SMILES P.C.
Location Address1188 RALPH DAVID ABERNATHY BLVD SW STE 101Atlanta, GA 30310-1754
Mailing Address1188 Ralph David Abernathy Blvd Sw Ste 101Atlanta, GA 30310-1754 · (404) 767-9356 · Fax (404) 529-4465
Fax(404) 529-4465
Organization SubpartYesParent: Fabulous Smiles
Authorized OfficialAldous WilsonPresident · (404) 767-9356
Enumeration DateOctober 28, 2009
NPI 1982930806 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 · DN011947
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.
1188 RALPH DAVID ABERNATHY BLVD SW STE 101, Atlanta, GA 30310

Other Names 1

Doing Business AsFabulous Smiles Pc

Other Identifiers 1

Medicaid000809025EGA

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 MULTIPLE 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 Fabulous Smiles P.C.'s NPI number?

The NPI number for Fabulous Smiles P.C. is 1982930806. It was assigned to this organization in the NPPES registry on October 28, 2009. The provider is doing business as Fabulous Smiles PC.

Where is Fabulous Smiles P.C. located?

Fabulous Smiles P.C. is located at 1188 Ralph David Abernathy Blvd SW Ste 101, Atlanta, GA 30310. The listed phone number is (404) 767-9356.

What is Fabulous Smiles P.C.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Fabulous Smiles P.C. was last updated on October 28, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.