| Bankhead Dental Asso Pc | |
|
1947 Donald Lee Hollowell Pkwy Atlanta GA 30318 | |
| (404) 794-2125 | |
| (404) 794-5236 |
| Full Name | Bankhead Dental Asso Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1947 Donald Lee Hollowell Pkwy, Atlanta, Georgia |
| Authorized Official Name and Position | Leon G Pye (PRESIDENT OWNER) |
| Authorized Official Contact | 4047942125 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bankhead Dental Asso Pc 1947 Donald Lee Hollowell Pkwy Atlanta GA 30318 Ph: (404) 794-2125 | Bankhead Dental Asso Pc 1947 Donald Lee Hollowell Pkwy Atlanta GA 30318 Ph: (404) 794-2125 |
| NPI Number | 1942377635 |
|---|---|
| Provider Enumeration Date | 11/29/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942377635 | NPI | - | NPPES |
| 00172235D | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 8962 (Georgia) | Primary |
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