Mableton Dental Inc | |
5841 Mableton Pkwy Mableton GA 30126 | |
(770) 944-8700 | |
(770) 819-1190 |
Full Name | Mableton Dental Inc |
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Speciality | Dentist |
Location | 5841 Mableton Pkwy, Mableton, Georgia |
Authorized Official Name and Position | Rollin B. Jackson (DENTIST, OWNER) |
Authorized Official Contact | 7709448700 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mableton Dental Inc Po Box 1159 Mableton GA 30126 Ph: (770) 944-8700 | Mableton Dental Inc 5841 Mableton Pkwy Mableton GA 30126 Ph: (770) 944-8700 |
NPI Number | 1164634440 |
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Provider Enumeration Date | 05/07/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164634440 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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