| Judge, Lisa Maria Dds Pc | |
|
1230 Powers Ferry Rd Se Suite #6 Marietta GA 30067-5495 | |
| (770) 541-0101 | |
| (770) 541-0102 |
| Full Name | Judge, Lisa Maria Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1230 Powers Ferry Rd Se, Marietta, Georgia |
| Authorized Official Name and Position | Lisa M Judge (DOCTOR OWNER) |
| Authorized Official Contact | 7705410101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Judge, Lisa Maria Dds Pc 1230 Powers Ferry Rd Se Suite #6 Marietta GA 30067-5495 Ph: (770) 541-0101 | Judge, Lisa Maria Dds Pc 1230 Powers Ferry Rd Se Suite #6 Marietta GA 30067-5495 Ph: (770) 541-0101 |
| NPI Number | 1811040728 |
|---|---|
| Provider Enumeration Date | 01/22/2007 |
| Last Update Date | 06/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811040728 | NPI | - | NPPES |
| 00764112B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN011180 (Georgia) | Primary |
| 1223G0001X | Dentist - General Practice | 4430 (Louisiana) | Secondary |
Damian Sommerville, Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1951 Canton Rd, Ste 310, Marietta, GA 30066 Phone: 770-423-0324 | |
Post Oak Pediatric Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2155 Post Oak Tritt Rd Ste 450, Marietta, GA 30062 Phone: 770-971-5536 Fax: 770-971-3046 | |
East Cobb Nia Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1111 Johnson Ferry Rd, Marietta, GA 30068 Phone: 770-479-9999 | |
L R Smiles Of Marietta, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3698 Largent Way Suite 202, Marietta, GA 30064 Phone: 770-423-4900 | |
Jeffrey K. Knauer, Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2663 Sandy Plains Rd, Marietta, GA 30066 Phone: 770-977-0827 Fax: 770-973-6764 | |
Enoch And Lamei Orthodontics, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2155 Post Oak Tritt Rd Ste 180, Marietta, GA 30062 Phone: 770-977-0377 | |
Cosmetic And Family Dentistry Of Roswell Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1611 Sands Pl Se Ste 100, Marietta, GA 30067 Phone: 770-226-0008 Fax: 770-226-0700 |