Provider Demographics
NPI:1790908895
Name:SMALTZ FAMILY DENTAL, P.C.
Entity Type:Organization
Organization Name:SMALTZ FAMILY DENTAL, P.C.
Other - Org Name:A BETTER DAY DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HUGH
Authorized Official - Middle Name:M
Authorized Official - Last Name:SMALTZ
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:770-254-8000
Mailing Address - Street 1:23 CLOVER LEAF CT
Mailing Address - Street 2:
Mailing Address - City:NEWNAN
Mailing Address - State:GA
Mailing Address - Zip Code:30265-4167
Mailing Address - Country:US
Mailing Address - Phone:770-502-0899
Mailing Address - Fax:
Practice Address - Street 1:1605 HIGHWAY 34 E STE A1
Practice Address - Street 2:
Practice Address - City:NEWNAN
Practice Address - State:GA
Practice Address - Zip Code:30265-2191
Practice Address - Country:US
Practice Address - Phone:770-254-8000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2013-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN0109331223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty