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Contact Information

KOOL SMILES, PC
2113 BEMISS ROAD
VALDOSTA, GA31602
 Phone: 800-920-9947
 Fax: 678-904-5666
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for KOOL SMILES, PC

NPI # 1457448987
LBN Legal business name KOOL SMILES, PC
Authorized official THIEN PHAM - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/06/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
GA License # DN012573
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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