P Praxis·MD
● Active Type 2 · Organization

Idealsmile

Clinic/Center·Columbus, GA· NPI 1710130455 · Enumerated 2008 · 17 years on NPI
Idealsmile is 1 of 507 clinic/center organizations in Georgia.
NPI age
17 years
Enumerated 2008-10-28
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Ham
President
Last NPPES update
2008-10-28
Source: monthly bulk 2026-05

How this organization compares

Across 507 active clinic/center providers in Georgia.

NPI age
17 years
↑ 11 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2008 → 2026

2008-10Enumerated in NPPES
2008 2026

Where they practice

Primary practice location
2501 Whittlesey Blvd, Suite B
Columbus, GA 319093031
📞 7062577374fax 7062577379
Mailing address
2501 Whittlesey Blvd, Suite B
Columbus, GA 319093031
📞 7062577374fax 7062577379

Authorized official

Jae H Ham, DDS
President
📞 7062577374

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Clinic/Center Primary
    Definition to come...
    GA license #DN013040 taxonomy 261QD0000X

Identifiers

TypeValueNotes
05 (GA) 561235509C
05 (GA) 626075029C

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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