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DR. LEONID YELIZAROV DMD P.C NPI 1205220811


NPI Information

NPI: 1205220811
Provider Name: DR. LEONID YELIZAROV DMD, P.C

Doing Business As: JONES BRIDGE DENTAL

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
11925 JONES BRIDGE RD
SUITE-200
ALPHARETTA, GA
ZIP 30005
Phone: (770) 772-0606
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DR. LEONID YELIZAROV DMD, P.C is a general practice dentist in Alpharetta, GA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. LEONID YELIZAROV DMD, P.C NPI is 1205220811. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Jones Bridge Dental.

The provider's business location address is:

11925 JONES BRIDGE RD
SUITE-200
ALPHARETTA, GA
ZIP 30005-076
Phone: (770) 772-0606
Fax: (678) 802-6704

The provider's authorized official is Dr. Leonid Yelizarov .
The authorized official title is Owner and has the following contact phone number (770) 772-0606.

The enumeration date for this NPI number is 3/20/2015 and was last updated on 3/20/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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