| Stockbridge Dental Llc | |
|
150 Country Club Dr Suite 201 Stockbridge GA 30281-9089 | |
| (770) 389-1980 | |
| (770) 389-5128 |
| Full Name | Stockbridge Dental Llc |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 150 Country Club Dr, Stockbridge, Georgia |
| Authorized Official Name and Position | Rima B Patel (DENTIST) |
| Authorized Official Contact | 7703891980 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stockbridge Dental Llc 150 Country Club Dr Suite 201 Stockbridge GA 30281-9089 Ph: (770) 389-1980 | Stockbridge Dental Llc 150 Country Club Dr Suite 201 Stockbridge GA 30281-9089 Ph: (770) 389-1980 |
| NPI Number | 1407195142 |
|---|---|
| Provider Enumeration Date | 01/31/2013 |
| Last Update Date | 01/31/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407195142 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | 010866 (Georgia) | Primary |
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