Provider Demographics
NPI:1245937291
Name:TRU SMILES DENTISTRY
Entity type:Organization
Organization Name:TRU SMILES DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:TANI
Authorized Official - Middle Name:
Authorized Official - Last Name:RAINFORD
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:470-822-8390
Mailing Address - Street 1:3425 BUFORD DR STE 300
Mailing Address - Street 2:
Mailing Address - City:BUFORD
Mailing Address - State:GA
Mailing Address - Zip Code:30519-8785
Mailing Address - Country:US
Mailing Address - Phone:470-822-8390
Mailing Address - Fax:470-238-2967
Practice Address - Street 1:3425 BUFORD DR STE 300
Practice Address - Street 2:
Practice Address - City:BUFORD
Practice Address - State:GA
Practice Address - Zip Code:30519-8785
Practice Address - Country:US
Practice Address - Phone:470-822-8390
Practice Address - Fax:470-238-2967
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-09
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty