| Atlanta Dental Center, Llc | |
|
620 Peachtree St Ne Suite 204 Atlanta GA 30308-2313 | |
| (404) 872-7755 | |
| Not Available |
| Full Name | Atlanta Dental Center, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 620 Peachtree St Ne, Atlanta, Georgia |
| Authorized Official Name and Position | Joshua Benk (OFFICE MANAGER) |
| Authorized Official Contact | 4048727755 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlanta Dental Center, Llc 620 Peachtree St Ne Suite 204 Atlanta GA 30308-2313 Ph: (404) 872-7755 | Atlanta Dental Center, Llc 620 Peachtree St Ne Suite 204 Atlanta GA 30308-2313 Ph: (404) 872-7755 |
| NPI Number | 1609300516 |
|---|---|
| Provider Enumeration Date | 04/18/2017 |
| Last Update Date | 04/18/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609300516 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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