| Jlm Dentistry Of Stockbridge | |
|
3579 Highway 138 Se Suite 202 Stockbridge GA 30281-4142 | |
| (770) 474-6111 | |
| (770) 474-5897 |
| Full Name | Jlm Dentistry Of Stockbridge |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3579 Highway 138 Se, Stockbridge, Georgia |
| Authorized Official Name and Position | Jarrett L Manning (OWNER) |
| Authorized Official Contact | 6786405272 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jlm Dentistry Of Stockbridge 4450 S Cobb Dr Se Smyrna GA 30080-6329 Ph: (770) 433-1515 | Jlm Dentistry Of Stockbridge 3579 Highway 138 Se Suite 202 Stockbridge GA 30281-4142 Ph: (770) 474-6111 |
| NPI Number | 1689960692 |
|---|---|
| Provider Enumeration Date | 06/28/2011 |
| Last Update Date | 06/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689960692 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN013349 (Georgia) | Primary |
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