Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ideal Smile Dentistry LLC

Organization Dentist · NPI 1750073615

Ideal Smile Dentistry LLC is a Dentist in Columbus, Georgia. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2979 N Lake Pkwy Ste 100
Columbus, GA 31909-2575
Phone: (678) 910-1716
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1750073615
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Seth Walden — Ceo · (678) 910-1716
NPI enumeratedMay 22, 2023
Last updated in NPPESMay 30, 2023
Certification dateMay 30, 2023
Mailing address3915 Piedmont Lake Rd, Pine Mountain, GA 31822-3558

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