| Eagles Landing Periodontics | |
|
239 Village Center Pkwy Suite 200 Stockbridge GA 30281-9024 | |
| (678) 289-0382 | |
| (678) 289-0383 |
| Full Name | Eagles Landing Periodontics |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 239 Village Center Pkwy, Stockbridge, Georgia |
| Authorized Official Name and Position | Ragan L Faler (PRESIDENT) |
| Authorized Official Contact | 6782890382 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eagles Landing Periodontics 239 Village Center Pkwy Suite 200 Stockbridge GA 30281-9024 Ph: (678) 289-0382 | Eagles Landing Periodontics 239 Village Center Pkwy Suite 200 Stockbridge GA 30281-9024 Ph: (678) 289-0382 |
| NPI Number | 1598219651 |
|---|---|
| Provider Enumeration Date | 08/06/2016 |
| Last Update Date | 08/06/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598219651 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | DN012726 (Georgia) | Primary |
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