| John M Doris, D.d.s.,p.a. | |
|
1121 Johnson Ferry Rd 320 Marietta GA 30068-5425 | |
| (770) 977-8644 | |
| (770) 971-7953 |
| Full Name | John M Doris, D.d.s.,p.a. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1121 Johnson Ferry Rd, Marietta, Georgia |
| Authorized Official Name and Position | John Marvin Doris (PRESIDENT) |
| Authorized Official Contact | 7709778644 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John M Doris, D.d.s.,p.a. 1121 Johnson Ferry Rd 320 Marietta GA 30068-5425 Ph: (770) 977-8644 | John M Doris, D.d.s.,p.a. 1121 Johnson Ferry Rd 320 Marietta GA 30068-5425 Ph: (770) 977-8644 |
| NPI Number | 1306056601 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306056601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DN007157 (Georgia) | Primary |
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