| Piedmont Periodontics | |
|
222 12th Street Suite 1b Atlanta GA 30309-5044 | |
| (404) 815-4800 | |
| (404) 815-0002 |
| Full Name | Piedmont Periodontics |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 222 12th Street, Atlanta, Georgia |
| Authorized Official Name and Position | Michael Scott Bartruff (DMD) |
| Authorized Official Contact | 4048154800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Piedmont Periodontics 1512 Piedmont Ave Ne Suite 200a Atlanta GA 30324-5044 Ph: (404) 815-4800 | Piedmont Periodontics 222 12th Street Suite 1b Atlanta GA 30309-5044 Ph: (404) 815-4800 |
| NPI Number | 1326176991 |
|---|---|
| Provider Enumeration Date | 03/02/2007 |
| Last Update Date | 04/17/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326176991 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | DN012389 (Georgia) | Primary |
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