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

Southern Smiles Orthodontics, LLC

Organization Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1619788676

Southern Smiles Orthodontics, LLC is an Orthodontics and Dentofacial Orthopedics Dentistry in Douglasville, Georgia. Works from 2 locations. Registered with an NPI since 2025.

In the registry since
2025
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

7475 Douglas Blvd Ste 201
Douglasville, GA 30135-1519
Phone: (770) 942-4100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4720 Jonesboro Rd, Union City, GA 30291-1994 — (770) 969-6444

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X

Record details

NPI number1619788676
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cassandra Wieth — Payor Relations Manager · (440) 563-8819
Other names Southern Smiles Orthodontics
NPI enumeratedJanuary 17, 2025
Last updated in NPPESJanuary 17, 2025
Certification dateJanuary 17, 2025
Mailing address7475 Douglas Blvd Ste 201, Douglasville, GA 30135-1519

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