| South Indy Dental, P.c. | |
|
1090 Northchase Pkwy Se Ste. 150 Marietta GA 30067-6405 | |
| (770) 916-5031 | |
| Not Available |
| Full Name | South Indy Dental, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1090 Northchase Pkwy Se, Marietta, Georgia |
| Authorized Official Name and Position | Thomas Quill (PRESIDENT) |
| Authorized Official Contact | 3178815000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Indy Dental, P.c. 5217 Commerce Cir Indianapolis IN 46237-9747 Ph: (317) 881-5000 | South Indy Dental, P.c. 1090 Northchase Pkwy Se Ste. 150 Marietta GA 30067-6405 Ph: (770) 916-5031 |
| NPI Number | 1679922470 |
|---|---|
| Provider Enumeration Date | 06/13/2016 |
| Last Update Date | 06/13/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679922470 | NPI | - | NPPES |
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