| Town Dentistry Brookhaven, Llc | |
|
804 Town Blvd Ne Ste 2010 Brookhaven GA 30319-3147 | |
| (404) 631-6277 | |
| Not Available |
| Full Name | Town Dentistry Brookhaven, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 804 Town Blvd Ne Ste 2010, Brookhaven, Georgia |
| Authorized Official Name and Position | Heather Rae Frodge (OWNER) |
| Authorized Official Contact | 4044760814 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Town Dentistry Brookhaven, Llc 804 Town Blvd Ne Ste 2010 Brookhaven GA 30319-3147 Ph: (404) 631-6277 | Town Dentistry Brookhaven, Llc 804 Town Blvd Ne Ste 2010 Brookhaven GA 30319-3147 Ph: (404) 631-6277 |
| NPI Number | 1780456301 |
|---|---|
| Provider Enumeration Date | 10/26/2023 |
| Last Update Date | 10/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780456301 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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