PHDENTALPC NPI 1043571672

NPI Information

PHDENTALPC is a general practice dentist in Atlanta, 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. PHDENTALPC NPI is 1043571672. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Heart Of Vinings Dentistry.

The provider's business location address is:

2859 PACES FERRY RD SE
SUITE 530
ATLANTA, GA
ZIP 30339-701
Phone: (678) 355-8980
Fax: (770) 405-8855

The provider's authorized official is Harold Perez .
The authorized official title is Owner and has the following contact phone number (678) 355-8980.

The enumeration date for this NPI number is 5/30/2012 and was last updated on 5/30/2012.

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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