| North Atlanta Aesthetic Dentistry, Pc. | |
|
4165 Old Milton Parkway Suite 140 Alpharetta GA 30005 | |
| (770) 664-1244 | |
| (770) 695-0143 |
| Full Name | North Atlanta Aesthetic Dentistry, Pc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4165 Old Milton Parkway, Alpharetta, Georgia |
| Authorized Official Name and Position | Larry Shawn Gurley (DOCTOR/OWNER) |
| Authorized Official Contact | 7706641244 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Atlanta Aesthetic Dentistry, Pc. 4165 Old Milton Parkway Suite 140 Alpharetta GA 30005 Ph: (770) 664-1244 | North Atlanta Aesthetic Dentistry, Pc. 4165 Old Milton Parkway Suite 140 Alpharetta GA 30005 Ph: (770) 664-1244 |
| NPI Number | 1821496134 |
|---|---|
| Provider Enumeration Date | 12/18/2014 |
| Last Update Date | 12/18/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821496134 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN011186 (Georgia) | Primary |
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