P Praxis·MD
● Active Type 2 · Organization

Great Smiles Buford Center Llc

Dentist·Buford, GA· NPI 1740984574 · Enumerated 2023 · 3 years on NPI
Great Smiles Buford Center Llc is 1 of 2660 dentist organizations in Georgia.
NPI age
3 years
Enumerated 2023-03-27
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Zidor
Ceo
Last NPPES update
2023-03-27
Source: monthly bulk 2026-05

How this organization compares

Across 2660 active dentist providers in Georgia.

NPI age
3 years
↓ 11 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2023 → 2026

2023-03Enumerated in NPPES
2023 2026

Where they practice

Primary practice location
1879 Buford Hwy Ste 5a
Buford, GA 305183628
📞 4707225591
Mailing address
2055 Barrett Lakes Blvd # 822
Kennesaw, GA 301448003

Authorized official

Beverly Zidor, DDS
Ceo
📞 7728289005

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...
    taxonomy 122300000X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • N/A
    Type code 5 recorded 2023-03-27

Practice context

Single-site organization. Only one practice location on file.

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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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