# DAVID H. DOGGETT BORDEAUX DDS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134308216
- **Authorized official:** DR. DAVID H DOGGETT BORDEAUX DDS (OWNER)
- **Authorized official phone:** (404) 249-1716

## Contact information

- **Practice address:** 855 JUNIPER STREET NE, ATLANTA, GA 30308
- **Practice address phone:** (404) 249-1716
- **Practice address fax:** (404) 249-8057
- **Mailing address:** 855 JUNIPER STREET NE, ATLANTA, GA 30308
- **Mailing address phone:** (404) 249-1716
- **Mailing address fax:** (404) 249-8057

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 9225 | GA | Yes |

## Other

- **Enumeration date:** 10/25/2007
- **Last updated:** 08/03/2011