| The Buckley Dental Center Pc | |
|
2325 Glenwood Ave Se Atlanta GA 30316-2362 | |
| (678) 800-8316 | |
| (678) 800-8317 |
| Full Name | The Buckley Dental Center Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2325 Glenwood Ave Se, Atlanta, Georgia |
| Authorized Official Name and Position | Elisha Elisha Buckley (OWNER) |
| Authorized Official Contact | 6785247364 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Buckley Dental Center Pc 4807 Wigley Rd Ne Marietta GA 30066-1503 Ph: (678) 524-7364 | The Buckley Dental Center Pc 2325 Glenwood Ave Se Atlanta GA 30316-2362 Ph: (678) 800-8316 |
| NPI Number | 1558033050 |
|---|---|
| Provider Enumeration Date | 10/02/2021 |
| Last Update Date | 10/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558033050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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