| Dogwood Dental | |
|
2421 Shallowford Rd Ste 146 Marietta GA 30066-2013 | |
| (770) 926-6886 | |
| Not Available |
| Full Name | Dogwood Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2421 Shallowford Rd Ste 146, Marietta, Georgia |
| Authorized Official Name and Position | Eric Jacobs (DENTIST OWNER) |
| Authorized Official Contact | 7709266886 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dogwood Dental 2421 Shallowford Rd Ste 146 Marietta GA 30066-2013 Ph: (770) 926-6886 | Dogwood Dental 2421 Shallowford Rd Ste 146 Marietta GA 30066-2013 Ph: (770) 926-6886 |
| NPI Number | 1073339024 |
|---|---|
| Provider Enumeration Date | 11/25/2024 |
| Last Update Date | 11/25/2024 |
| Certification Date | 11/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073339024 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
| 1223P0300X | Dentist - Periodontics | () | Secondary |
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