| Mae White Dentistry, L.l.c. | |
|
2291 Fairburn Rd Sw Atlanta GA 30331-5038 | |
| (404) 349-4343 | |
| (404) 349-4344 |
| Full Name | Mae White Dentistry, L.l.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2291 Fairburn Rd Sw, Atlanta, Georgia |
| Authorized Official Name and Position | Mae T White (DENTIST) |
| Authorized Official Contact | 4043494343 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mae White Dentistry, L.l.c. 2291 Fairburn Rd Sw Atlanta GA 30331-5038 Ph: (404) 349-4343 | Mae White Dentistry, L.l.c. 2291 Fairburn Rd Sw Atlanta GA 30331-5038 Ph: (404) 349-4343 |
| NPI Number | 1871836924 |
|---|---|
| Provider Enumeration Date | 03/27/2013 |
| Last Update Date | 03/27/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871836924 | NPI | - | NPPES |
| 000163127A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 8467 (Georgia) | Primary |
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