| Ivy Dentistry Llc | |
|
11775 Northfall Ln Alpharetta GA 30004-7978 | |
| (770) 619-2909 | |
| (770) 619-2939 |
| Full Name | Ivy Dentistry Llc |
|---|---|
| Speciality | Dentist |
| Location | 11775 Northfall Ln, Alpharetta, Georgia |
| Authorized Official Name and Position | Erin Bang (DENTIST) |
| Authorized Official Contact | 7706192909 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ivy Dentistry Llc Po Box 80097 Chamblee GA 30366-0097 Ph: (770) 619-2909 | Ivy Dentistry Llc 11775 Northfall Ln Alpharetta GA 30004-7978 Ph: (770) 619-2909 |
| NPI Number | 1811024078 |
|---|---|
| Provider Enumeration Date | 02/27/2007 |
| Last Update Date | 12/21/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811024078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN011829 (Georgia) | Primary |
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