| Peachstate Perio And Implants, Inc. | |
|
1024 Market Place Blvd Cumming GA 30041-7921 | |
| (770) 844-6771 | |
| Not Available |
| Full Name | Peachstate Perio And Implants, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1024 Market Place Blvd, Cumming, Georgia |
| Authorized Official Name and Position | Page Phelps Barden (PRESIDENT) |
| Authorized Official Contact | 4042722512 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peachstate Perio And Implants, Inc. 1024 Market Place Blvd Cumming GA 30041-7921 Ph: (770) 844-6771 | Peachstate Perio And Implants, Inc. 1024 Market Place Blvd Cumming GA 30041-7921 Ph: (770) 844-6771 |
| NPI Number | 1528491644 |
|---|---|
| Provider Enumeration Date | 08/13/2013 |
| Last Update Date | 05/04/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528491644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN010757 (Georgia) | Primary |
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