| Stone Mountain Dental Pc | |
|
4813 Rockbridge Rd Ste 26 Stone Mountain GA 30083-4200 | |
| (404) 292-9838 | |
| (404) 292-8344 |
| Full Name | Stone Mountain Dental Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4813 Rockbridge Rd Ste 26, Stone Mountain, Georgia |
| Authorized Official Name and Position | Schadale Stevens (OWNERR) |
| Authorized Official Contact | 4042928383 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stone Mountain Dental Pc 4813 Rockbridge Rd Ste 26 Stone Mountain GA 30083-4200 Ph: (404) 292-9838 | Stone Mountain Dental Pc 4813 Rockbridge Rd Ste 26 Stone Mountain GA 30083-4200 Ph: (404) 292-9838 |
| NPI Number | 1194997726 |
|---|---|
| Provider Enumeration Date | 03/24/2008 |
| Last Update Date | 03/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194997726 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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