| Piedmont Periodontics Atlanta Llc | |
|
222 12th St Ne Ste 1b Atlanta GA 30309-4009 | |
| (404) 815-4800 | |
| (404) 815-0002 |
| Full Name | Piedmont Periodontics Atlanta Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 222 12th St Ne Ste 1b, Atlanta, Georgia |
| Authorized Official Name and Position | John W Schaefer (OWNER/PERIODONTIST) |
| Authorized Official Contact | 4048154800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Piedmont Periodontics Atlanta Llc 222 12th St Ne Ste 1b Atlanta GA 30309-4009 Ph: (404) 815-4800 | Piedmont Periodontics Atlanta Llc 222 12th St Ne Ste 1b Atlanta GA 30309-4009 Ph: (404) 815-4800 |
| NPI Number | 1013515709 |
|---|---|
| Provider Enumeration Date | 10/14/2020 |
| Last Update Date | 10/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013515709 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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