| Atlanta Oral & Maxillofacial Surgery, P.c. | |
|
3875 Holcomb Bridge Rd Ste 4 Norcross GA 30092-2269 | |
| (770) 729-1481 | |
| (770) 448-2225 |
| Full Name | Atlanta Oral & Maxillofacial Surgery, P.c. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 3875 Holcomb Bridge Rd, Norcross, Georgia |
| Authorized Official Name and Position | Christian Loetscher (PRESIDENT) |
| Authorized Official Contact | 7707291481 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlanta Oral & Maxillofacial Surgery, P.c. 3875 Holcomb Bridge Rd Ste 4 Norcross GA 30092-2269 Ph: (770) 729-1481 | Atlanta Oral & Maxillofacial Surgery, P.c. 3875 Holcomb Bridge Rd Ste 4 Norcross GA 30092-2269 Ph: (770) 729-1481 |
| NPI Number | 1619019874 |
|---|---|
| Provider Enumeration Date | 02/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619019874 | NPI | - | NPPES |
| 667702 | Other | GA | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DN010907 (Georgia) | Primary |
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