| Lifetime Dentistry | |
|
3921 Johns Creek Ct Suite A Suwanee GA 30024-1219 | |
| (770) 674-0226 | |
| (770) 807-1671 |
| Full Name | Lifetime Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3921 Johns Creek Ct, Suwanee, Georgia |
| Authorized Official Name and Position | Donna Phillips (PRACTICE MANAGER) |
| Authorized Official Contact | 7706740226 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifetime Dentistry 3921 Johns Creek Ct Suite A Suwanee GA 30024-1219 Ph: (770) 674-0226 | Lifetime Dentistry 3921 Johns Creek Ct Suite A Suwanee GA 30024-1219 Ph: (770) 674-0226 |
| NPI Number | 1376930644 |
|---|---|
| Provider Enumeration Date | 04/23/2015 |
| Last Update Date | 01/25/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376930644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN01285 (Georgia) | Primary |
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