| East Atlanta Endodontics & Microsurgery, Pc | |
|
976 E Freeway Dr Se Suite A Conyers GA 30094-5965 | |
| (770) 483-1331 | |
| (770) 483-2092 |
| Full Name | East Atlanta Endodontics & Microsurgery, Pc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 976 E Freeway Dr Se, Conyers, Georgia |
| Authorized Official Name and Position | Jelani T Washington (OWNER/DENTIST) |
| Authorized Official Contact | 7704831331 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Atlanta Endodontics & Microsurgery, Pc 976 E Freeway Dr Se Suite A Conyers GA 30094-5965 Ph: (770) 483-1331 | East Atlanta Endodontics & Microsurgery, Pc 976 E Freeway Dr Se Suite A Conyers GA 30094-5965 Ph: (770) 483-1331 |
| NPI Number | 1437444510 |
|---|---|
| Provider Enumeration Date | 06/16/2011 |
| Last Update Date | 06/16/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437444510 | NPI | - | NPPES |
| 1083698757 | Other | GA | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | DN013277 (Georgia) | Primary |
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