| Windy Hill Dentistry, Llc | |
|
997 Windy Hill Rd Se Suite C Smyrna GA 30080-2045 | |
| (770) 405-8707 | |
| Not Available |
| Full Name | Windy Hill Dentistry, Llc |
|---|---|
| Speciality | Dentist |
| Location | 997 Windy Hill Rd Se, Smyrna, Georgia |
| Authorized Official Name and Position | Roy Johnson (DDS) |
| Authorized Official Contact | 7704058707 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Windy Hill Dentistry, Llc 997 Windy Hill Rd Se Suite C Smyrna GA 30080-2045 Ph: (770) 405-8707 | Windy Hill Dentistry, Llc 997 Windy Hill Rd Se Suite C Smyrna GA 30080-2045 Ph: (770) 405-8707 |
| NPI Number | 1316324932 |
|---|---|
| Provider Enumeration Date | 05/04/2015 |
| Last Update Date | 05/04/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316324932 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN008043 (Georgia) | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |
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