JLM DENTISTRY OF STOCKBRIDGE NPI 1689960692

NPI Information

JLM DENTISTRY OF STOCKBRIDGE is a general practice dentist in Stockbridge, 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. JLM DENTISTRY OF STOCKBRIDGE NPI is 1689960692. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3579 HIGHWAY 138 SE
SUITE 202
STOCKBRIDGE, GA
ZIP 30281-142
Phone: (770) 474-6111
Fax: (770) 474-5897

The provider's authorized official is Jarrett L Manning .
The authorized official title is Owner and has the following contact phone number (678) 640-5272.

The enumeration date for this NPI number is 6/28/2011 and was last updated on 6/28/2011.

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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