| Atlanta Family Dentistry | |
|
2394 Cobb Pkwy Se Smyrna GA 30080-3061 | |
| (770) 850-8442 | |
| (770) 850-8052 |
| Full Name | Atlanta Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2394 Cobb Pkwy Se, Smyrna, Georgia |
| Authorized Official Name and Position | Danny Jeon (OWNER) |
| Authorized Official Contact | 7708508442 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlanta Family Dentistry 2394 Cobb Pkwy Se Smyrna GA 30080-3061 Ph: (770) 850-8442 | Atlanta Family Dentistry 2394 Cobb Pkwy Se Smyrna GA 30080-3061 Ph: (770) 850-8442 |
| NPI Number | 1760615629 |
|---|---|
| Provider Enumeration Date | 08/26/2009 |
| Last Update Date | 08/26/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760615629 | NPI | - | NPPES |
| 733999822A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DNO13196 (Georgia) | Primary |
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