| Aspen Dental | |
|
6351 Douglas Blvd Douglasville GA 30135-7102 | |
| (404) 267-0400 | |
| (770) 577-9425 |
| Full Name | Aspen Dental |
|---|---|
| Speciality | Dentist |
| Location | 6351 Douglas Blvd, Douglasville, Georgia |
| Authorized Official Name and Position | Jennifer La Duc (PROVIDER RELATIONS) |
| Authorized Official Contact | 3154546000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aspen Dental Po Box 3189 Syracuse NY 13220-3189 Ph: (315) 454-6000 | Aspen Dental 6351 Douglas Blvd Douglasville GA 30135-7102 Ph: (404) 267-0400 |
| NPI Number | 1578001384 |
|---|---|
| Provider Enumeration Date | 02/01/2017 |
| Last Update Date | 02/01/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578001384 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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