| Creative Dentistry Of Atlanta | |
|
5505 Peachtree Dunwoody Road Suite 460 Atlanta GA 30342 | |
| (404) 883-3287 | |
| (404) 883-3289 |
| Full Name | Creative Dentistry Of Atlanta |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5505 Peachtree Dunwoody Road, Atlanta, Georgia |
| Authorized Official Name and Position | Anitha R Reddy (CEO/OWNER) |
| Authorized Official Contact | 4048833287 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creative Dentistry Of Atlanta 5505 Peachtree Dunwoody Road Suite 460 Atlanta GA 30342 Ph: (404) 883-3287 | Creative Dentistry Of Atlanta 5505 Peachtree Dunwoody Road Suite 460 Atlanta GA 30342 Ph: (404) 883-3287 |
| NPI Number | 1801389812 |
|---|---|
| Provider Enumeration Date | 06/13/2018 |
| Last Update Date | 06/13/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801389812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN012610 (Georgia) | Primary |
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