| Buckhead Smiles Cosmetic And Family Dentistry Llc | |
|
321 Pharr Rd Ne Suite A Atlanta GA 30305-2346 | |
| (404) 917-1111 | |
| (404) 917-1113 |
| Full Name | Buckhead Smiles Cosmetic And Family Dentistry Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 321 Pharr Rd Ne, Atlanta, Georgia |
| Authorized Official Name and Position | Portia Maxine Grayson (OWNER DENTIST) |
| Authorized Official Contact | 4049171111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Buckhead Smiles Cosmetic And Family Dentistry Llc 321 Pharr Rd Ne Suite A Atlanta GA 30305-2346 Ph: (404) 917-1111 | Buckhead Smiles Cosmetic And Family Dentistry Llc 321 Pharr Rd Ne Suite A Atlanta GA 30305-2346 Ph: (404) 917-1111 |
| NPI Number | 1770613119 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770613119 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN012800 (Georgia) | Primary |
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