| 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 |