| Denture Place LLC | |
|
2258 Northlake Pkwy Ste 200 Tucker GA 30084-4018 | |
| (678) 937-9607 | |
| Not Available |
| Full Name | Denture Place LLC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2258 Northlake Pkwy Ste 200, Tucker, Georgia |
| Authorized Official Name and Position | Earl Douglas Henson (DENTIST) |
| Authorized Official Contact | 6789379601 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Denture Place LLC 2258 Northlake Pkwy Ste 200 Tucker GA 30084-4018 | Denture Place LLC 2258 Northlake Pkwy Ste 200 Tucker GA 30084-4018 Ph: (678) 937-9607 |
| NPI Number | 1598945107 |
|---|---|
| Provider Enumeration Date | 11/12/2007 |
| Last Update Date | 11/12/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598945107 | NPI | - | NPPES |
| 1154490639 | Other | GA | NPI |
| 1952470437 | Other | GA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (NU) | Primary |
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