| North Decatur Dentistry | |
|
2570 Blackmon Drive Suite 320 Decatur GA 30033 | |
| (678) 203-3462 | |
| (678) 389-6421 |
| Full Name | North Decatur Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2570 Blackmon Drive, Decatur, Georgia |
| Authorized Official Name and Position | Katie L Mccann (OWNER) |
| Authorized Official Contact | 6782033462 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Decatur Dentistry 17000 Red Hill Ave Irvine CA 92614-5626 Ph: (714) 845-8890 | North Decatur Dentistry 2570 Blackmon Drive Suite 320 Decatur GA 30033 Ph: (678) 203-3462 |
| NPI Number | 1154868917 |
|---|---|
| Provider Enumeration Date | 01/31/2017 |
| Last Update Date | 01/31/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154868917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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