| Dental Town, Llc | |
|
410 Peachtree Parkway Building 400, Ste. 4250 Cumming GA 30041 | |
| (770) 887-8807 | |
| Not Available |
| Full Name | Dental Town, Llc |
|---|---|
| Speciality | Dentist |
| Location | 410 Peachtree Parkway, Cumming, Georgia |
| Authorized Official Name and Position | Michael Richard Hansen (OWNER) |
| Authorized Official Contact | 7706221515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Town, Llc 4330 Johns Creek Parkway Ste. 100 Suwanee GA 30024 Ph: (770) 622-1515 | Dental Town, Llc 410 Peachtree Parkway Building 400, Ste. 4250 Cumming GA 30041 Ph: (770) 887-8807 |
| NPI Number | 1457657439 |
|---|---|
| Provider Enumeration Date | 02/08/2011 |
| Last Update Date | 02/09/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457657439 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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