| Wendy Medders Macke Dmd Pc | |
|
76 Norcross St Roswell GA 30075-3866 | |
| (770) 993-0265 | |
| (770) 998-7307 |
| Full Name | Wendy Medders Macke Dmd Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 76 Norcross St, Roswell, Georgia |
| Authorized Official Name and Position | Wendy Medders Macke (PRESIDENT) |
| Authorized Official Contact | 6789085866 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wendy Medders Macke Dmd Pc 4240 Ancroft Cir Norcross GA 30092-2664 Ph: (678) 908-5866 | Wendy Medders Macke Dmd Pc 76 Norcross St Roswell GA 30075-3866 Ph: (770) 993-0265 |
| NPI Number | 1821248790 |
|---|---|
| Provider Enumeration Date | 09/26/2008 |
| Last Update Date | 09/26/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821248790 | NPI | - | NPPES |
| 1831282193 | Other | GA | INDIVIDUAL NPI # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN012427 (Georgia) | Primary |
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