| Peachtree Dental Group | |
|
1001 N Peachtree Pkwy Suite A Peachtree City GA 30269-4210 | |
| (770) 268-9112 | |
| (770) 631-0023 |
| Full Name | Peachtree Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1001 N Peachtree Pkwy, Peachtree City, Georgia |
| Authorized Official Name and Position | Jelana Bryan (OWNER) |
| Authorized Official Contact | 7702689112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peachtree Dental Group Po Box 920050 Dallas TX 75392-0050 Ph: (714) 845-8890 | Peachtree Dental Group 1001 N Peachtree Pkwy Suite A Peachtree City GA 30269-4210 Ph: (770) 268-9112 |
| NPI Number | 1487030847 |
|---|---|
| Provider Enumeration Date | 08/07/2015 |
| Last Update Date | 05/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487030847 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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