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Idealsmile

Dental Clinic/Center in Columbus, GA · enumerated 2008 · authorized official Jae Ham, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1710130455

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Registry record

Entity type Organization (Type 2)
Legal business name Idealsmile
Practice address 2501 Whittlesey Blvd, Suite B, Columbus, GA, 31909
Fax (706) 257-7379
Enumeration date Oct 28, 2008
Last updated in NPPES Oct 28, 2008

Taxonomy & classification

261QD0000X Dental Clinic/Center Ambulatory Health Care Facilities · License DN013040 (GA) Primary

Authorized official

Name Jae Ham
Title President

Other identifiers

Identifier Type State Issuer
561235509C Medicaid GA -
626075029C Medicaid GA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-10-28. Verify at npiregistry.cms.hhs.gov.
Where is Idealsmile located?
The practice location on file with NPPES is in Columbus, GA.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-10-28.