| Thomas W. Kauffman, Dds, Pc | |
|
133 Peachtree St Ne Suite 4050 Atlanta GA 30303-1804 | |
| (404) 524-1981 | |
| (404) 524-8463 |
| Full Name | Thomas W. Kauffman, Dds, Pc |
|---|---|
| Speciality | Dentist |
| Location | 133 Peachtree St Ne, Atlanta, Georgia |
| Authorized Official Name and Position | Thomas W Kauffman (PRESIDENT) |
| Authorized Official Contact | 4045241981 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas W. Kauffman, Dds, Pc 133 Peachtree St Ne Suite 4050 Atlanta GA 30303-1804 Ph: (404) 524-1981 | Thomas W. Kauffman, Dds, Pc 133 Peachtree St Ne Suite 4050 Atlanta GA 30303-1804 Ph: (404) 524-1981 |
| NPI Number | 1477080232 |
|---|---|
| Provider Enumeration Date | 05/11/2017 |
| Last Update Date | 05/11/2017 |
| Medicare PECOS PAC ID | 3870868193 |
|---|---|
| Medicare Enrollment ID | O20171011003712 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477080232 | NPI | - | NPPES |
| 1851440093 | Other | GA | DENTAL INSURANCE AND MEDICAL INSURANCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 8679 (Georgia) | Primary |
| Provider Name | Thomas W Kauffman |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1851440093 PECOS PAC ID: 2365622750 Enrollment ID: I20171011003871 |
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