Alpharetta Family & Specialty Dental Care | |
12385 Crabapple Rd Suite 101 Alpharetta GA 30004-6357 | |
(770) 781-8650 | |
Not Available |
Full Name | Alpharetta Family & Specialty Dental Care |
---|---|
Speciality | Dentist |
Location | 12385 Crabapple Rd, Alpharetta, Georgia |
Authorized Official Name and Position | Kevin Short (OWNER) |
Authorized Official Contact | 7707818650 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Alpharetta Family & Specialty Dental Care 12385 Crabapple Rd Suite 101 Alpharetta GA 30004-6357 Ph: () - | Alpharetta Family & Specialty Dental Care 12385 Crabapple Rd Suite 101 Alpharetta GA 30004-6357 Ph: (770) 781-8650 |
NPI Number | 1386193662 |
---|---|
Provider Enumeration Date | 09/27/2016 |
Last Update Date | 09/29/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386193662 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DN011242 (Georgia) | Secondary |
122300000X | Dentist | DN015174 (Georgia) | Primary |
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