PROGRESSIVE DG LLC NPI 1225798929

NPI Information

PROGRESSIVE DG, LLC is a general practice dentist in Decatur, 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. PROGRESSIVE DG, LLC NPI is 1225798929. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2485 PARK CENTRAL BLVD STE 3
DECATUR, GA
ZIP 30035-903
Phone: (770) 593-4976

The provider's authorized official is Aundrea Eady .
The authorized official title is Owner and has the following contact phone number (305) 479-7602.

The enumeration date for this NPI number is 12/21/2021 and was last updated on 12/21/2021.

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:

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