| County Dental Providers, Inc | |
|
254 Roswell St Se Marietta GA 30060-2064 | |
| (770) 443-8411 | |
| (770) 443-8985 |
| Full Name | County Dental Providers, Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 254 Roswell St Se, Marietta, Georgia |
| Authorized Official Name and Position | John Szewczyk (PRESIDENT) |
| Authorized Official Contact | 7704438411 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| County Dental Providers, Inc 254 Roswell St Se Marietta GA 30060-2064 Ph: (770) 443-8411 | County Dental Providers, Inc 254 Roswell St Se Marietta GA 30060-2064 Ph: (770) 443-8411 |
| NPI Number | 1770851396 |
|---|---|
| Provider Enumeration Date | 12/09/2011 |
| Last Update Date | 03/03/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770851396 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7410 (North Carolina) | Primary |
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