OrganizationActive
Fabulous Smiles P.C.
NPI 1982930806 · General Practice Dentistry · Atlanta, GA
Provider details
- NPI number
- 1982930806
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Parent organization
- Fabulous Smiles
- Organization subpart
- Yes
- Authorized official
- Aldous Wilson, President(404) 767-9356
- License
- DN011947 (GA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1188 Ralph David Abernathy Blvd Sw Ste 101
Atlanta, GA 30310-1754
Phone: (404) 767-9356
Fax: (404) 529-4465
Street-level locationGet directions
Mailing address
1188 Ralph David Abernathy Blvd Sw Ste 101
Atlanta, GA 30310-1754
Other names (DBA / former)
- Doing business as
- Fabulous Smiles PC
Registry dates
- Enumerated
- 2009-10-28
- Last updated
- 2009-10-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.