| Walton Center For Family Dentistry | |
|
4353 Atlanta Highway Suite. 300 Loganville GA 30052 | |
| (770) 405-2030 | |
| Not Available |
| Full Name | Walton Center For Family Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4353 Atlanta Highway Suite. 300, Loganville, Georgia |
| Authorized Official Name and Position | Ashley Nichelle Thomas (CREDENTIALING ADMINISTRATOR) |
| Authorized Official Contact | 7704502030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Walton Center For Family Dentistry 4353 Atlanta Hwy Ste 300 Loganville GA 30052-3232 Ph: (770) 405-2030 | Walton Center For Family Dentistry 4353 Atlanta Highway Suite. 300 Loganville GA 30052 Ph: (770) 405-2030 |
| NPI Number | 1942738901 |
|---|---|
| Provider Enumeration Date | 06/02/2017 |
| Last Update Date | 07/14/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942738901 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN013645 (Georgia) | Primary |
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