| Herrin Cpds Pc | |
| 
					1571 Phoenix Blvd Ste 8 College Park GA 30349-5536  | |
| (844) 682-4737 | |
| (404) 521-4044 | 
| Full Name | Herrin Cpds Pc | 
|---|---|
| Speciality | Dentist - Pediatric Dentistry | 
| Location | 1571 Phoenix Blvd Ste 8, College Park, Georgia | 
| Authorized Official Name and Position | Marcus Quran Polk (PRACTICE MANAGER) | 
| Authorized Official Contact | 4044034567 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Herrin Cpds Pc Po Box 370160 Decatur GA 30037-0160 Ph: (404) 403-4567  | Herrin Cpds Pc 1571 Phoenix Blvd Ste 8 College Park GA 30349-5536 Ph: (844) 682-4737  | 
| NPI Number | 1629584586 | 
|---|---|
| Provider Enumeration Date | 12/14/2017 | 
| Last Update Date | 03/17/2018 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1629584586 | NPI | - | NPPES | 
| 003198439A | Medicaid | GA | 
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Centers For Pediatric Dental Sedation Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1631 Phoenix Blvd Ste 8, College Park, GA 30349 Phone: 678-545-1682 Fax: 678-519-0701  | |
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