| Hammond Dental Sandy Springs Llc | |
|
227 Sandy Springs Pl Ste 352 Sandy Springs GA 30328-5918 | |
| (404) 531-2003 | |
| Not Available |
| Full Name | Hammond Dental Sandy Springs Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 227 Sandy Springs Pl Ste 352, Sandy Springs, Georgia |
| Authorized Official Name and Position | Micajah Jon Vickers (LLC MANAGER) |
| Authorized Official Contact | 4044329922 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hammond Dental Sandy Springs Llc 3535 Peachtree Rd Ne Ste 520-176 Atlanta GA 30326-3287 Ph: () - | Hammond Dental Sandy Springs Llc 227 Sandy Springs Pl Ste 352 Sandy Springs GA 30328-5918 Ph: (404) 531-2003 |
| NPI Number | 1114554169 |
|---|---|
| Provider Enumeration Date | 03/26/2020 |
| Last Update Date | 03/26/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114554169 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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