| Progressive Dental Group | |
|
2485 Park Central Blvd Ste 3 Decatur GA 30035-3903 | |
| (770) 593-4976 | |
| Not Available |
| Full Name | Progressive Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2485 Park Central Blvd Ste 3, Decatur, Georgia |
| Authorized Official Name and Position | Aundrea Eady (OWNER) |
| Authorized Official Contact | 3054797602 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Progressive Dental Group 2485 Park Central Blvd Ste 3 Decatur GA 30035-3903 | Progressive Dental Group 2485 Park Central Blvd Ste 3 Decatur GA 30035-3903 Ph: (770) 593-4976 |
| NPI Number | 1225798929 |
|---|---|
| Provider Enumeration Date | 12/21/2021 |
| Last Update Date | 12/21/2021 |
| Certification Date | 12/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225798929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
| 1223P0700X | Dentist - Prosthodontics | () | Secondary |
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