| Ga Specialty Dental Services | |
|
4355 Johns Creek Pkwy Suwanee GA 30024-9100 | |
| (770) 495-9193 | |
| Not Available |
| Full Name | Ga Specialty Dental Services |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 4355 Johns Creek Pkwy, Suwanee, Georgia |
| Authorized Official Name and Position | Charlotte Dasch (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 6156780759 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ga Specialty Dental Services 401 Church St Ste 1400 Nashville TN 37219-2214 Ph: (615) 678-0759 | Ga Specialty Dental Services 4355 Johns Creek Pkwy Suwanee GA 30024-9100 Ph: (770) 495-9193 |
| NPI Number | 1225689870 |
|---|---|
| Provider Enumeration Date | 09/25/2019 |
| Last Update Date | 09/25/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225689870 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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