| West Atlanta Endodontics | |
|
1790 Mulkey Rd Suite 2 Austell GA 30106-1122 | |
| (770) 944-8822 | |
| (770) 944-0459 |
| Full Name | West Atlanta Endodontics |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 1790 Mulkey Rd, Austell, Georgia |
| Authorized Official Name and Position | David Norrington (DENTIST/CEO) |
| Authorized Official Contact | 7709448822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Atlanta Endodontics 1790 Mulkey Rd Suite 2 Austell GA 30106-1122 Ph: (770) 944-8822 | West Atlanta Endodontics 1790 Mulkey Rd Suite 2 Austell GA 30106-1122 Ph: (770) 944-8822 |
| NPI Number | 1174870430 |
|---|---|
| Provider Enumeration Date | 08/06/2012 |
| Last Update Date | 08/06/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174870430 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | DN013597 (Georgia) | Primary |
| 1223E0200X | Dentist - Endodontics | 8842 (Georgia) | Secondary |
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