| Premier Dental Inc | |
|
8097 Roswell Rd Bldg E Atlanta GA 30350-6159 | |
| (770) 642-4711 | |
| Not Available |
| Full Name | Premier Dental Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8097 Roswell Rd, Atlanta, Georgia |
| Authorized Official Name and Position | Danielle Denise Greene (PRESIDENT) |
| Authorized Official Contact | 4049151666 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Dental Inc 8097 Roswell Rd Bldg E Atlanta GA 30350-6159 Ph: (770) 642-4711 | Premier Dental Inc 8097 Roswell Rd Bldg E Atlanta GA 30350-6159 Ph: (770) 642-4711 |
| NPI Number | 1497928063 |
|---|---|
| Provider Enumeration Date | 04/03/2008 |
| Last Update Date | 04/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497928063 | NPI | - | NPPES |
| 00814965C | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 011973 (Georgia) | Primary |
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