| Dr Martino Sylvester Faggioni Jr, DDS | |
|
1462 Montreal Rd, Suite 211, Tucker, GA 30084-6929 | |
| (770) 038-1848 | |
| (770) 938-1856 |
| Full Name | Dr Martino Sylvester Faggioni Jr |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 1462 Montreal Rd, Tucker, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639183916 | NPI | - | NPPES |
| 100190 | Other | GA | AVESIS PROVIDER NUMBER |
| 9180034 | Other | GA | DORAL DENTAL USA PROVIDER |
| 000202243B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7303 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Martino Sylvester Faggioni Jr, DDS 1462 Montreal Road, Suite 211, Tucker, GA 30084-6931 Ph: (770) 038-1848 | Dr Martino Sylvester Faggioni Jr, DDS 1462 Montreal Rd, Suite 211, Tucker, GA 30084-6929 Ph: (770) 038-1848 |
Dr. Ravi Chandran, DMD PHD Dentist Medicare: Accepting Medicare Assignments Practice Location: 4915 Lavista Rd, Tucker, GA 30084 Phone: 770-934-1907 Fax: 770-493-4900 | |
Dr. Victor Morris Benbenisty, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2260 Northlake Pkwy, Suite 202, Tucker, GA 30084 Phone: 770-938-5530 | |
Harry Mcclure Chase, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2018 Montreal Rd, Tucker, GA 30084 Phone: 770-934-2728 Fax: 770-934-1127 | |
Keriann Jimenez, Dentist Medicare: Not Enrolled in Medicare Practice Location: 4280 Lavista Rd Ste C117, Tucker, GA 30084 Phone: 703-608-7893 | |
Dr. Harold Weldon Fountain Jr., D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 4385 Hugh Howell Rd., Tucker, GA 30084 Phone: 770-493-7023 Fax: 770-493-7024 | |
Melissa Mcmillion, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1390 Montreal Rd, Tucker, GA 30084 Phone: 770-934-9700 | |
Danny Jeon, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2258 Northlake Pkwy, Suite 200, Tucker, GA 30084 Phone: 678-937-9601 Fax: 678-937-9602 |