Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Innovative Smiles at the Forum PC

Organization Dentist · NPI 1861403552

Innovative Smiles at the Forum PC is a Dentist in Norcross, Georgia. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5185 Peachtree Pkwy Bldg 1200 Ste 201
Norcross, GA 30092
Phone: (770) 368-1110
Fax: (770) 368-1114
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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 number1861403552
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Philip Talley — Dentist Owner · (770) 368-1110
Other names Second Facility Opened
NPI enumeratedAugust 10, 2006
Last updated in NPPESAugust 22, 2020
Mailing address5185 Peachtree Pkwy, Bldg 1200 Ste 201, Norcross, GA 30092

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