| Peachtree Dental Group | |
|
3590 Old Milton Pkwy Alpharetta GA 30005-4465 | |
| (770) 521-1978 | |
| (770) 521-9936 |
| Full Name | Peachtree Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3590 Old Milton Pkwy, Alpharetta, Georgia |
| Authorized Official Name and Position | Manoj Maggan (PRESIDENT) |
| Authorized Official Contact | 7705211978 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peachtree Dental Group 3590 Old Milton Parkway Alpharetta GA 30005 Ph: (770) 521-1978 | Peachtree Dental Group 3590 Old Milton Pkwy Alpharetta GA 30005-4465 Ph: (770) 521-1978 |
| NPI Number | 1871703553 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871703553 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 11376 (Georgia) | Primary |
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