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Organization

DENTFIRST, P.C.

Active
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Organization

DENTFIRST, P.C.

Active
Parent organization
DENTFIRST, P.C.
Organization subpart
Yes

Provider details

NPI number
Legal business name
DENTFIRST, P.C.
Authorized official
GINA S JACKSON (CONTRACT, CRED & BENEFITS MGR)
(770) 446-8000
Entity
Organization

Contact information

Practice address
3180 N POINT PKWY STE 522, ALPHARETTA, GA 30005-4569
(770) 755-5935
(770) 755-5945
Mailing address
1650 OAKBROOK DR STE 440, NORCROSS, GA 30093-1817
(770) 446-8000

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
—
—
1223P0300X
Periodontics
—
—
1223P0700X
Prosthodontics
—
—
124Q00000X
Dental Hygienist
—
—

Other

Enumeration date
11/17/2020
Last updated
11/17/2020
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