| Eaglin Dental Group, Johns Creek | |
|
6290 Abbotts Bridge Rd Ste 101 Johns Creek GA 30097-1750 | |
| (770) 418-1777 | |
| (678) 646-5982 |
| Full Name | Eaglin Dental Group, Johns Creek |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6290 Abbotts Bridge Rd Ste 101, Johns Creek, Georgia |
| Authorized Official Name and Position | Jason S Eaglin (OWNER) |
| Authorized Official Contact | 7704181777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eaglin Dental Group, Johns Creek 6290 Abbotts Bridge Rd Ste 101 Johns Creek GA 30097-1750 Ph: (770) 418-1777 | Eaglin Dental Group, Johns Creek 6290 Abbotts Bridge Rd Ste 101 Johns Creek GA 30097-1750 Ph: (770) 418-1777 |
| NPI Number | 1245507292 |
|---|---|
| Provider Enumeration Date | 11/18/2011 |
| Last Update Date | 11/18/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245507292 | NPI | - | NPPES |
| 777472578D | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DN013169 (Georgia) | Secondary |
| 1223G0001X | Dentist - General Practice | DN013169 (Georgia) | Primary |
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