Ga Specialty Dental Services | |
4355 Johns Creek Pkwy Suwanee GA 30024-9100 | |
(770) 495-9193 | |
Not Available |
Full Name | Ga Specialty Dental Services |
---|---|
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 4355 Johns Creek Pkwy, Suwanee, Georgia |
Authorized Official Name and Position | Charlotte Dasch (DIRECTOR OF OPERATIONS) |
Authorized Official Contact | 6156780759 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ga Specialty Dental Services 401 Church St Ste 1400 Nashville TN 37219-2214 Ph: (615) 678-0759 | Ga Specialty Dental Services 4355 Johns Creek Pkwy Suwanee GA 30024-9100 Ph: (770) 495-9193 |
NPI Number | 1225689870 |
---|---|
Provider Enumeration Date | 09/25/2019 |
Last Update Date | 09/25/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225689870 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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