| Medical Dental Management Services, Inc. | |
|
1150 Hammond Dr Ne C-3120 Atlanta GA 30328-5334 | |
| (770) 604-9944 | |
| (770) 604-9945 |
| Full Name | Medical Dental Management Services, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1150 Hammond Dr Ne, Atlanta, Georgia |
| Authorized Official Name and Position | Larry Buford (DENTIST) |
| Authorized Official Contact | 7706049944 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Dental Management Services, Inc. 1150 Hammond Dr Ne C-3120 Atlanta GA 30328-5334 Ph: (770) 604-9944 | Medical Dental Management Services, Inc. 1150 Hammond Dr Ne C-3120 Atlanta GA 30328-5334 Ph: (770) 604-9944 |
| NPI Number | 1568633311 |
|---|---|
| Provider Enumeration Date | 03/20/2008 |
| Last Update Date | 03/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568633311 | NPI | - | NPPES |
| 9184187 | Other | GA | DORAL DENTAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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