| Kent M. Mattison, D.m.d., P.c. | |
|
2381 Main St E Ste B Snellville GA 30078-3358 | |
| (770) 972-4666 | |
| (770) 972-9054 |
| Full Name | Kent M. Mattison, D.m.d., P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2381 Main St E Ste B, Snellville, Georgia |
| Authorized Official Name and Position | Kent M Mattison (PRESIDENT) |
| Authorized Official Contact | 7709724666 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kent M. Mattison, D.m.d., P.c. 2381 Main St E Ste B Snellville GA 30078-3358 Ph: (770) 972-4666 | Kent M. Mattison, D.m.d., P.c. 2381 Main St E Ste B Snellville GA 30078-3358 Ph: (770) 972-4666 |
| NPI Number | 1114059706 |
|---|---|
| Provider Enumeration Date | 03/10/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114059706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN008284 (Georgia) | Primary |
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