Oral Surgery Of Georgia Llc | |
5590 Roswell Rd Ste 270 Sandy Springs GA 30342-1909 | |
(404) 389-1950 | |
Not Available |
Full Name | Oral Surgery Of Georgia Llc |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 5590 Roswell Rd, Sandy Springs, Georgia |
Authorized Official Name and Position | Charles O Coulter (OWNER) |
Authorized Official Contact | 4043891950 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Oral Surgery Of Georgia Llc 1350 Spring St Nw Ste 600 Atlanta GA 30309-2864 Ph: (404) 389-1950 | Oral Surgery Of Georgia Llc 5590 Roswell Rd Ste 270 Sandy Springs GA 30342-1909 Ph: (404) 389-1950 |
NPI Number | 1417374034 |
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Provider Enumeration Date | 03/20/2014 |
Last Update Date | 03/20/2014 |
Identifier | Type | State | Issuer |
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1417374034 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223S0112X | Dentist - Oral And Maxillofacial Surgery | DN013607 (Georgia) | Primary |
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