Dr David M Self, DDS is a medicare enrolled "Dental Assistant" provider in Sandy Springs, Georgia. His current practice location is
7539 Roswell Rd, Sandy Springs, Georgia. You can reach out to his office (for appointments etc.) via phone at
(909) 709-9989.
Dr David M Self is licensed to practice in Georgia (license number DN013983) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1790931798.
Healthcare Provider's Profile
Full Name | Dr David M Self |
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Gender | Male |
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Speciality | Dental Assistant |
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Location | 7539 Roswell Rd, Sandy Springs, Georgia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1790931798
- Provider Enumeration Date: 08/11/2008
- Last Update Date: 11/02/2010
Medicare PECOS Information:
- PECOS PAC ID: 3375826084
- Enrollment ID: I20170202002644
Medical Identifiers
Medical identifiers for Dr David M Self such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790931798 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | D7635 (Arizona) | Secondary |
126800000X | Dental Assistant | DN013983 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr David M Self is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr David M Self, DDS 7539 Roswell Rd, Sandy Springs, GA 30350-4838 Ph: (909) 709-9989 | Dr David M Self, DDS 7539 Roswell Rd, Sandy Springs, GA 30350-4838 Ph: (909) 709-9989 |
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