| Metro Dekalb Dental Group | |
|
4849 Memorial Dr Stone Mountain GA 30083-4175 | |
| (404) 296-4119 | |
| (404) 935-0905 |
| Full Name | Metro Dekalb Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 4849 Memorial Dr, Stone Mountain, Georgia |
| Authorized Official Name and Position | Gary Simms (DENTIST) |
| Authorized Official Contact | 4042964119 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Metro Dekalb Dental Group 4849 Memorial Dr Stone Mountain GA 30083-4175 Ph: (404) 296-4119 | Metro Dekalb Dental Group 4849 Memorial Dr Stone Mountain GA 30083-4175 Ph: (404) 296-4119 |
| NPI Number | 1134372279 |
|---|---|
| Provider Enumeration Date | 11/03/2008 |
| Last Update Date | 11/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134372279 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN013291 (Georgia) | Primary |
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