| Alpha Cosmetic Dentistry | |
|
4055 Johns Creek Pkwy Suite B Suwanee GA 30024-1299 | |
| (678) 436-1300 | |
| (678) 436-1303 |
| Full Name | Alpha Cosmetic Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4055 Johns Creek Pkwy, Suwanee, Georgia |
| Authorized Official Name and Position | Anisa Lee Hailey (PRESIDENT & CHIEF SMILE ARCHITECT) |
| Authorized Official Contact | 6784361300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alpha Cosmetic Dentistry 4055 Johns Creek Pkwy Suite B Suwanee GA 30024-1299 Ph: (678) 436-1300 | Alpha Cosmetic Dentistry 4055 Johns Creek Pkwy Suite B Suwanee GA 30024-1299 Ph: (678) 436-1300 |
| NPI Number | 1891984373 |
|---|---|
| Provider Enumeration Date | 10/19/2007 |
| Last Update Date | 10/19/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891984373 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN012026 (Georgia) | Primary |
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