| 20/32 Family Dentistry | |
|
80 Peyton Rd Sw Atlanta GA 30311-1710 | |
| (678) 732-0411 | |
| Not Available |
| Full Name | 20/32 Family Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 80 Peyton Rd Sw, Atlanta, Georgia |
| Authorized Official Name and Position | Thaddeus Harvey (DOCTOR/OWNER) |
| Authorized Official Contact | 2023808828 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 20/32 Family Dentistry 175 Beracah Walk Sw Atlanta GA 30331-8514 Ph: (202) 380-8828 | 20/32 Family Dentistry 80 Peyton Rd Sw Atlanta GA 30311-1710 Ph: (678) 732-0411 |
| NPI Number | 1457863961 |
|---|---|
| Provider Enumeration Date | 10/25/2017 |
| Last Update Date | 10/25/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457863961 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (Georgia) | Primary |
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