| Spectrum Dental Care | |
|
6270 Smithpointe Dr Norcross GA 30092-2754 | |
| (770) 263-8408 | |
| (770) 263-8744 |
| Full Name | Spectrum Dental Care |
|---|---|
| Speciality | Dentist |
| Location | 6270 Smithpointe Dr, Norcross, Georgia |
| Authorized Official Name and Position | Ifeanyi Ezunu N (DOCTOR) |
| Authorized Official Contact | 7702638408 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spectrum Dental Care 6270 Smithpointe Dr Norcross GA 30092-2754 Ph: (770) 263-8408 | Spectrum Dental Care 6270 Smithpointe Dr Norcross GA 30092-2754 Ph: (770) 263-8408 |
| NPI Number | 1679942049 |
|---|---|
| Provider Enumeration Date | 09/16/2015 |
| Last Update Date | 09/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679942049 | NPI | - | NPPES |
| 000972694A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 012240 (Georgia) | Primary |
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