| Ga Southern Dental Ppo | |
|
857 Collier Rd Nw # 14 Atlanta GA 30318-2532 | |
| (404) 355-4952 | |
| Not Available |
| Full Name | Ga Southern Dental Ppo |
|---|---|
| Speciality | Dentist |
| Location | 857 Collier Rd Nw # 14, Atlanta, Georgia |
| Authorized Official Name and Position | Erika Melissa Menjivar (SR. CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 4695966137 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ga Southern Dental Ppo 5830 Granite Pkwy Ste 780 Plano TX 75024-6775 Ph: (469) 596-6137 | Ga Southern Dental Ppo 857 Collier Rd Nw # 14 Atlanta GA 30318-2532 Ph: (404) 355-4952 |
| NPI Number | 1811723695 |
|---|---|
| Provider Enumeration Date | 09/10/2024 |
| Last Update Date | 09/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811723695 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
Perimeter Pediatric Dentistry Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2221 Johnson Ferry Rd Ne, Ste 2-a, Atlanta, GA 30319 Phone: 678-763-2600 Fax: 678-893-0459 | |
Piedmont Periodontics Atlanta Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 12th St Ne Ste 1b, Atlanta, GA 30309 Phone: 404-815-4800 Fax: 404-815-0002 | |
Dental Care 24 7 Staffing Atlanta, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 285 Centennial Olympic Park Dr Nw # Cu-2b, Atlanta, GA 30313 Phone: 470-719-4888 Fax: 404-495-4543 | |
Grace E Wu Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 587 Virginia Ave Ne # 5, Atlanta, GA 30306 Phone: 404-389-0700 | |
Lewis L Brown Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3580 Piedmont Rd Ne, Tuxedo Center Suite 113, Atlanta, GA 30305 Phone: 404-266-0111 Fax: 404-233-9759 | |
Dentistryone Of Georgia Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1700 Northside Dr Nw Ste A7, Atlanta, GA 30318 Phone: 877-712-7875 | |
Toomer School Based Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 65 Rogers St Ne, Atlanta, GA 30317 Phone: 404-373-6614 Fax: 404-373-2926 |