| South East Dental | |
|
4649 Buford Hwy Chamlee GA 30341 | |
| (770) 452-1400 | |
| Not Available |
| Full Name | South East Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4649 Buford Hwy, Chamlee, Georgia |
| Authorized Official Name and Position | Jacqueline Tuyen Pham (PRESIDENT) |
| Authorized Official Contact | 7704521400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South East Dental 4649 Buford Hwy Chamlee GA 30341 Ph: (770) 452-1400 | South East Dental 4649 Buford Hwy Chamlee GA 30341 Ph: (770) 452-1400 |
| NPI Number | 1427277458 |
|---|---|
| Provider Enumeration Date | 04/25/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427277458 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (Georgia) | Primary |