| Dentistry For Midtown | |
|
1401 Peachtree St Ne Ste 100 Atlanta GA 30309-3005 | |
| (404) 249-1716 | |
| (404) 249-8057 |
| Full Name | Dentistry For Midtown |
|---|---|
| Speciality | Dentist |
| Location | 1401 Peachtree St Ne Ste 100, Atlanta, Georgia |
| Authorized Official Name and Position | Laura C Koch (OWNER) |
| Authorized Official Contact | 4042491716 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentistry For Midtown 1401 Peachtree St Ne Ste 100 Atlanta GA 30309-3005 Ph: (404) 249-1716 | Dentistry For Midtown 1401 Peachtree St Ne Ste 100 Atlanta GA 30309-3005 Ph: (404) 249-1716 |
| NPI Number | 1730591603 |
|---|---|
| Provider Enumeration Date | 05/27/2014 |
| Last Update Date | 01/10/2023 |
| Medicare PECOS PAC ID | 0648614735 |
|---|---|
| Medicare Enrollment ID | O20240216001141 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730591603 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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