| Mahant Dental Llc | |
| 
					5396 Floyd Rd Sw Mableton GA 30126-2216  | |
| (770) 941-7588 | |
| (770) 941-2119 | 
| Full Name | Mahant Dental Llc | 
|---|---|
| Speciality | Dentist - General Practice | 
| Location | 5396 Floyd Rd Sw, Mableton, Georgia | 
| Authorized Official Name and Position | Kelley Halvorsen (INSURANCE ADMINISTRATOR) | 
| Authorized Official Contact | 7276863773 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mahant Dental Llc 1411 Cromwell Dr Apt Suite Tarpon Springs FL 34689-3017 Ph: (727) 686-3773  | Mahant Dental Llc 5396 Floyd Rd Sw Mableton GA 30126-2216 Ph: (770) 941-7588  | 
| NPI Number | 1205591526 | 
|---|---|
| Provider Enumeration Date | 11/02/2021 | 
| Last Update Date | 11/02/2021 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1205591526 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary | 
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Hebberger & Simpson, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5396 Floyd Rd Sw, Mableton, GA 30126 Phone: 770-941-7588 Fax: 770-941-2119  | |
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Mcperry Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5396 Floyd Rd Sw, Mableton, GA 30126 Phone: 770-941-7588 Fax: 770-941-2119  |