NPI age
1 years
Enumerated 2025-01-17
● Active Type 2 · Organization
Southern Smiles Orthodontics, Llc
Southern Smiles Orthodontics, Llc is 1 of 526 dentist organizations in Georgia.
Primary specialty
Dentist
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Wieth
Payor Relations Manager
Last NPPES update
2025-01-17
Source: monthly bulk 2026-05
How this organization compares
Across 526 active dentist providers in Georgia.
NPI age
1 years
↓ 16 yr below median
Practice locations
2
1 secondary on file
Subspecialties
0
NPI lifetime · 2025 → 2026
2025-01Enumerated in NPPES
2025
2026
Where they practice
Primary practice location
7475 Douglas Blvd Ste 201
Douglasville, GA 301351519
Mailing address
7475 Douglas Blvd Ste 201
Douglasville, GA 301351519
Additional practice locations
1 secondary location on file with NPPES.
Location 2
4720 Jonesboro Rd
Union City, GA 302911994
Authorized official
Cassandra Wieth
Payor Relations Manager
📞 4405638819
Specialties
-
Dentist PrimaryThat area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Southern Smiles Orthodontics
Practice context
Multi-site organization. 1 additional practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.