| Roam Dental Appliances Llc | |
|
4536 Nelson Brogdon Blvd Bldg A Buford GA 30518-7516 | |
| (470) 412-5455 | |
| Not Available |
| Full Name | Roam Dental Appliances Llc |
|---|---|
| Speciality | Durable Medical Equipment & Medical Supplies - Customized Equipment |
| Location | 4536 Nelson Brogdon Blvd Bldg A, Buford, Georgia |
| Authorized Official Name and Position | Ravi A Patel (OWNER) |
| Authorized Official Contact | 3173643740 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roam Dental Appliances Llc 4536 Nelson Brogdon Blvd Bldg A Buford GA 30518-7516 Ph: (470) 412-5455 | Roam Dental Appliances Llc 4536 Nelson Brogdon Blvd Bldg A Buford GA 30518-7516 Ph: (470) 412-5455 |
| NPI Number | 1073175691 |
|---|---|
| Provider Enumeration Date | 07/03/2019 |
| Last Update Date | 01/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073175691 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Primary |
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