| Family & Cosmetic Dentistry of Decatur | |
|
3662 Flakes Mill Rd Ste A Decatur GA 30034-5219 | |
| (770) 593-2202 | |
| (770) 593-2602 |
| Full Name | Family & Cosmetic Dentistry of Decatur |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3662 Flakes Mill Rd Ste A, Decatur, Georgia |
| Authorized Official Name and Position | Shauna Gammage (PRESIDENT) |
| Authorized Official Contact | 4048051454 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family & Cosmetic Dentistry of Decatur 3662 Flakes Mill Rd Ste A Decatur GA 30034-5219 Ph: (770) 593-2202 | Family & Cosmetic Dentistry of Decatur 3662 Flakes Mill Rd Ste A Decatur GA 30034-5219 Ph: (770) 593-2202 |
| NPI Number | 1669260642 |
|---|---|
| Provider Enumeration Date | 04/29/2025 |
| Last Update Date | 04/29/2025 |
| Certification Date | 04/29/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669260642 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (NU) | Primary |
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