| Ga Specialty Dental Services Ii, Pc | |
|
1380 Peachtree Industrial Blvd Ste 150 Suwanee GA 30024-3795 | |
| (770) 614-8914 | |
| Not Available |
| Full Name | Ga Specialty Dental Services Ii, Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1380 Peachtree Industrial Blvd Ste 150, Suwanee, Georgia |
| Authorized Official Name and Position | Charlotte Dasch (DIRECTOR OF CRED AND PROV RELATIONS) |
| Authorized Official Contact | 5046380303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ga Specialty Dental Services Ii, Pc 1610 54th Ave N Ste 205 Nashville TN 37209-1442 Ph: (615) 678-0759 | Ga Specialty Dental Services Ii, Pc 1380 Peachtree Industrial Blvd Ste 150 Suwanee GA 30024-3795 Ph: (770) 614-8914 |
| NPI Number | 1376390005 |
|---|---|
| Provider Enumeration Date | 05/01/2024 |
| Last Update Date | 05/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376390005 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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