NPI age
17 years
Enumerated 2008-05-30
● Active Type 2 · Organization
Fabulous Smiles Of Atlanta Llc
Fabulous Smiles Of Atlanta Llc is 1 of 109 preferred provider organization organizations in Georgia.
Primary specialty
Preferred Provider Organization
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Greene
President
Last NPPES update
2008-05-30
Source: monthly bulk 2026-05
How this organization compares
Across 109 active preferred provider organization providers in Georgia.
NPI age
17 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
1188 Ralph David Abernathy Blvd Sw, Suite 101
Atlanta, GA 303101754
Mailing address
1188 Ralph David Abernathy Blvd Sw, Suite 101
Atlanta, GA 303101754
Authorized official
Danielle Denise Greene, DDS
President
📞 4047580770
Individual providers at this organization
4 individual providers on file at this primary practice address.
- Danielle Greene, D.D.S Dentist NPI 1336234129
- Jacqueline Holley Dental Hygienist NPI 1467239061
- Eric Lawton, D.D.S. Dentist NPI 1679889737
- Kendra White, HYGENTIST Dental Hygienist NPI 1689459919
Specialties
-
Preferred Provider Organization PrimaryA group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00814965C |
Practice context
Multi-provider organization. 4 individual providers on file at this primary address.
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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.