| Norcross Dental Center | |
|
5430 Jimmy Carter Blvd Ste 125 Norcross GA 30093-1526 | |
| (770) 441-7900 | |
| Not Available |
| Full Name | Norcross Dental Center |
|---|---|
| Speciality | Dentist |
| Location | 5430 Jimmy Carter Blvd Ste 125, Norcross, Georgia |
| Authorized Official Name and Position | Thien Minh Le (OWNER) |
| Authorized Official Contact | 7704117900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Norcross Dental Center 5430 Jimmy Carter Blvd Ste 125 Norcross GA 30093-1526 Ph: () - | Norcross Dental Center 5430 Jimmy Carter Blvd Ste 125 Norcross GA 30093-1526 Ph: (770) 441-7900 |
| NPI Number | 1023283181 |
|---|---|
| Provider Enumeration Date | 04/29/2008 |
| Last Update Date | 04/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023283181 | NPI | - | NPPES |
| 232256189B | Medicaid | GA | |
| 232256189C | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN013031 (Georgia) | Primary |
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