| Patient 1st Dental | |
|
3273 Shallowford Rd Ne Atlanta GA 30341-3632 | |
| (770) 455-0628 | |
| (770) 451-7521 |
| Full Name | Patient 1st Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3273 Shallowford Rd Ne, Atlanta, Georgia |
| Authorized Official Name and Position | Jaya Vallabhaneni (CEO) |
| Authorized Official Contact | 7704550628 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Patient 1st Dental 3273 Shallowford Rd Ne Atlanta GA 30341-3632 Ph: (770) 455-0628 | Patient 1st Dental 3273 Shallowford Rd Ne Atlanta GA 30341-3632 Ph: (770) 455-0628 |
| NPI Number | 1922139567 |
|---|---|
| Provider Enumeration Date | 03/07/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922139567 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN012273 (Georgia) | Primary |
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