| Main Street Dentistry Pc | |
|
366 North Main Street Suite 200 Alpharetta GA 30004 | |
| (770) 475-6136 | |
| (770) 475-5037 |
| Full Name | Main Street Dentistry Pc |
|---|---|
| Speciality | Dentist |
| Location | 366 North Main Street, Alpharetta, Georgia |
| Authorized Official Name and Position | Imad Sabbagh (PRESIDENT CEO) |
| Authorized Official Contact | 7704756136 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Main Street Dentistry Pc 366 North Main Street Suite 200 Alpharetta GA 30004 Ph: (770) 475-6136 | Main Street Dentistry Pc 366 North Main Street Suite 200 Alpharetta GA 30004 Ph: (770) 475-6136 |
| NPI Number | 1457420937 |
|---|---|
| Provider Enumeration Date | 11/07/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457420937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 11529 (Georgia) | Primary |
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