| Professional Dental Alliance Of Alpharetta, Llc | |
|
12685 Crabapple Rd Alpharetta GA 30004-6339 | |
| (478) 929-8603 | |
| (478) 929-0242 |
| Full Name | Professional Dental Alliance Of Alpharetta, Llc |
|---|---|
| Speciality | Dentist |
| Location | 12685 Crabapple Rd, Alpharetta, Georgia |
| Authorized Official Name and Position | Lauren Howard (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 7246982029 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Dental Alliance Of Alpharetta, Llc 11 S Mill St Ste 200 New Castle PA 16101-3680 Ph: (724) 698-2500 | Professional Dental Alliance Of Alpharetta, Llc 12685 Crabapple Rd Alpharetta GA 30004-6339 Ph: (478) 929-8603 |
| NPI Number | 1831660943 |
|---|---|
| Provider Enumeration Date | 12/16/2018 |
| Last Update Date | 12/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831660943 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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