| Superior Dental Of East Cobb, Llc | |
|
2745 Sandy Plains Rd Ste 118 Marietta GA 30066-4327 | |
| (770) 977-1611 | |
| Not Available |
| Full Name | Superior Dental Of East Cobb, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2745 Sandy Plains Rd Ste 118, Marietta, Georgia |
| Authorized Official Name and Position | Bobby T Shirley (OWNER) |
| Authorized Official Contact | 6789778119 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Superior Dental Of East Cobb, Llc 347 Lightburn Crk Nw Marietta GA 30064-1307 Ph: (678) 977-8119 | Superior Dental Of East Cobb, Llc 2745 Sandy Plains Rd Ste 118 Marietta GA 30066-4327 Ph: (770) 977-1611 |
| NPI Number | 1982102653 |
|---|---|
| Provider Enumeration Date | 01/29/2018 |
| Last Update Date | 01/29/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982102653 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN012980 (Georgia) | Primary |
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