| Damian Sommerville, Dds | |
|
1951 Canton Rd Ste 310 Marietta GA 30066-6327 | |
| (770) 423-0324 | |
| Not Available |
| Full Name | Damian Sommerville, Dds |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1951 Canton Rd, Marietta, Georgia |
| Authorized Official Name and Position | Damian L Sommerville (OWNER) |
| Authorized Official Contact | 7704230324 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Damian Sommerville, Dds 1951 Canton Rd Ste 310 Marietta GA 30066-6327 Ph: (770) 423-0324 | Damian Sommerville, Dds 1951 Canton Rd Ste 310 Marietta GA 30066-6327 Ph: (770) 423-0324 |
| NPI Number | 1003291329 |
|---|---|
| Provider Enumeration Date | 07/28/2015 |
| Last Update Date | 03/29/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003291329 | NPI | - | NPPES |
| 003160400A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN014899 (Georgia) | Primary |
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