| Coleman Dental Associates, Pc | |
|
970 Martin Luther King Jr Dr Sw Suite 301 Atlanta GA 30314-2962 | |
| (404) 523-3153 | |
| (404) 523-0136 |
| Full Name | Coleman Dental Associates, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 970 Martin Luther King Jr Dr Sw, Atlanta, Georgia |
| Authorized Official Name and Position | Marla O. Coleman (PRESIDENT) |
| Authorized Official Contact | 4045233153 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coleman Dental Associates, Pc 970 Martin Luther King Jr Dr Sw Suite 301 Atlanta GA 30314-2962 Ph: (404) 523-3153 | Coleman Dental Associates, Pc 970 Martin Luther King Jr Dr Sw Suite 301 Atlanta GA 30314-2962 Ph: (404) 523-3153 |
| NPI Number | 1710131545 |
|---|---|
| Provider Enumeration Date | 11/06/2008 |
| Last Update Date | 11/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710131545 | NPI | - | NPPES |
| 692906293A | Medicaid | GA | |
| 000364823A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN010307 (Georgia) | Primary |
| 1223P0221X | Dentist - Pediatric Dentistry | DN013127 (Georgia) | Secondary |
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