| Cosmetic And Restorative Dentistry | |
|
1175 Oglethorpe Ave Athens GA 30606-2129 | |
| (706) 227-2502 | |
| (706) 227-0207 |
| Full Name | Cosmetic And Restorative Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1175 Oglethorpe Ave, Athens, Georgia |
| Authorized Official Name and Position | Rosanna Masciadri (OWNER) |
| Authorized Official Contact | 7062272502 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cosmetic And Restorative Dentistry 1175 Oglethorpe Ave Athens GA 30606-2129 Ph: (706) 227-2502 | Cosmetic And Restorative Dentistry 1175 Oglethorpe Ave Athens GA 30606-2129 Ph: (706) 227-2502 |
| NPI Number | 1841355336 |
|---|---|
| Provider Enumeration Date | 12/26/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841355336 | NPI | - | NPPES |
| 983777 | Other | GA | UNITED CONCORDIA |
| 00723401A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | BM3609596 (Georgia) | Primary |
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