| Newtown Family Dental Pc | |
|
3280 Old Alabama Rd Suite 200 Johns Creek GA 30022-8544 | |
| (404) 437-7331 | |
| (404) 437-7599 |
| Full Name | Newtown Family Dental Pc |
|---|---|
| Speciality | Dentist |
| Location | 3280 Old Alabama Rd, Johns Creek, Georgia |
| Authorized Official Name and Position | Alim J Grant (OWNER/DENTIST) |
| Authorized Official Contact | 6785716984 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Newtown Family Dental Pc 3280 Old Alabama Rd Suite 200 Johns Creek GA 30022-8544 Ph: (404) 437-7331 | Newtown Family Dental Pc 3280 Old Alabama Rd Suite 200 Johns Creek GA 30022-8544 Ph: (404) 437-7331 |
| NPI Number | 1922533868 |
|---|---|
| Provider Enumeration Date | 04/28/2017 |
| Last Update Date | 04/28/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922533868 | NPI | - | NPPES |
| 3481511 | Other | GA | UNITED CONCORDIA |
| 904873006E | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN012743 (Georgia) | Primary |
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