| Creekside Dentistry, Llc | |
| 
					3238 Krisam Creek Dr Loganville GA 30052-7942  | |
| (770) 466-0474 | |
| (770) 466-3894 | 
| Full Name | Creekside Dentistry, Llc | 
|---|---|
| Speciality | Dentist - General Practice | 
| Location | 3238 Krisam Creek Dr, Loganville, Georgia | 
| Authorized Official Name and Position | Cyndi Simmons (PRACTICE MANAGER) | 
| Authorized Official Contact | 7704660474 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Creekside Dentistry, Llc 3238 Krisam Creek Dr Loganville GA 30052-7942 Ph: (770) 466-0474  | Creekside Dentistry, Llc 3238 Krisam Creek Dr Loganville GA 30052-7942 Ph: (770) 466-0474  | 
| NPI Number | 1558768770 | 
|---|---|
| Provider Enumeration Date | 12/03/2014 | 
| Last Update Date | 12/03/2014 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1558768770 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | GA8776 (Georgia) | Primary | 
Magualie J. Woollery, D.m.d., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7760 Hampton Pl, Building 6, Loganville, GA 30052 Phone: 678-639-0080 Fax: 678-639-0088  | |
Loganville Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3973 Atlanta Hwy, Suite 100, Loganville, GA 30052 Phone: 770-466-3114 Fax: 770-466-3777  | |
Laura C Davis Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4132 Atlanta Hwy, Suite 202, Loganville, GA 30052 Phone: 678-475-7817 Fax: 678-475-7607  | |
Loganville Dental Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 Highway 78, Loganville, GA 30052 Phone: 770-466-0580  | |
Princeton Dental Group-loganville Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4353 Atlanta Hwy, Loganville, GA 30052 Phone: 770-554-0848 Fax: 770-554-4569  | |
Loganville Dentist Office, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4799 Atlanta Hwy, Suite 520, Loganville, GA 30052 Phone: 404-720-6097 Fax: 404-609-2675  |