| Amon Meadows Dmd Pc | |
|
4686 South Atlanta Rd Suite I Smyrna GA 30080 | |
| (404) 799-8499 | |
| (404) 799-8496 |
| Full Name | Amon Meadows Dmd Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4686 South Atlanta Rd Suite I, Smyrna, Georgia |
| Authorized Official Name and Position | Amon A Meadows (OWNER DENTIST) |
| Authorized Official Contact | 4047998499 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amon Meadows Dmd Pc 4686 South Atlanta Rd Suite I Smyrna GA 30080 Ph: (404) 799-8499 | Amon Meadows Dmd Pc 4686 South Atlanta Rd Suite I Smyrna GA 30080 Ph: (404) 799-8499 |
| NPI Number | 1841413804 |
|---|---|
| Provider Enumeration Date | 04/10/2007 |
| Last Update Date | 06/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841413804 | NPI | - | NPPES |
| 00772461D | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 11763 (Georgia) | Primary |
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