| John A. Clinebell, D.D.S., M.S., P.C. | |
|
3744 Lavista Rd Suite A Decatur GA 30033-1006 | |
| (404) 325-8116 | |
| (404) 325-0417 |
| Full Name | John A. Clinebell, D.D.S., M.S., P.C. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 3744 Lavista Rd, Decatur, Georgia |
| Authorized Official Name and Position | John Anderson Clinebell (PRESIDENT) |
| Authorized Official Contact | 4043258116 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John A. Clinebell, D.D.S., M.S., P.C. 3744 Lavista Rd Suite A Decatur GA 30033-1006 Ph: (404) 325-8116 | John A. Clinebell, D.D.S., M.S., P.C. 3744 Lavista Rd Suite A Decatur GA 30033-1006 Ph: (404) 325-8116 |
| NPI Number | 1396808218 |
|---|---|
| Provider Enumeration Date | 12/19/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396808218 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (NU) | Primary |
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