| Parnes Family Dentistry Llc | |
|
3999 Austell Rd Suite 304 Austell GA 30106-1100 | |
| (404) 213-9051 | |
| (678) 990-4072 |
| Full Name | Parnes Family Dentistry Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3999 Austell Rd, Austell, Georgia |
| Authorized Official Name and Position | Gary Wayne Parnes (OWNER) |
| Authorized Official Contact | 4042139051 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Parnes Family Dentistry Llc 3999 Austell Rd Suite 304 Austell GA 30106-1100 Ph: (404) 213-9051 | Parnes Family Dentistry Llc 3999 Austell Rd Suite 304 Austell GA 30106-1100 Ph: (404) 213-9051 |
| NPI Number | 1336310192 |
|---|---|
| Provider Enumeration Date | 03/19/2008 |
| Last Update Date | 03/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336310192 | NPI | - | NPPES |
| 9179575 | Medicaid | GA | |
| 165930 | Medicaid | GA | |
| 107477 | Medicaid | GA | |
| 100362 | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (Georgia) | Primary |
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