P Praxis·MD
● Active Type 2 · Organization

Super Smiles Pc

Dentist·Decatur, GA· NPI 1295992055 · Enumerated 2008 · 18 years on NPI
Super Smiles Pc is 1 of 2660 dentist organizations in Georgia.
NPI age
18 years
Enumerated 2008-05-20
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Shaeffer
Doctor
Last NPPES update
2008-05-20
Source: monthly bulk 2026-05

How this organization compares

Across 2660 active dentist providers in Georgia.

NPI age
18 years
↑ 4 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2008 → 2026

2008-05Enumerated in NPPES
2008 2026

Where they practice

Primary practice location
2058 N Decatur Rd
Decatur, GA 300335306
📞 4046361200fax 4046361199
Mailing address
2058 N Decatur Rd
Decatur, GA 300335306
📞 4046361200fax 4046361199

Authorized official

Francis P Shaeffer, D.M.D
Doctor
📞 4046361200

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Dentist Primary
    A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two...
    GA license #012746 taxonomy 122300000X

Identifiers

TypeValueNotes
01 (GA) 425180080B MEDICAID

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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