# SPECTRUM DENTAL CARE

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

## Provider details

- **NPI number:** 1679942049
- **Authorized official:** DR. IFEANYI EZUNU N DDS (DOCTOR)
- **Authorized official phone:** (770) 263-8408

## Contact information

- **Practice address:** 6270 SMITHPOINTE DR, NORCROSS, GA 30092-2754
- **Practice address phone:** (770) 263-8408
- **Practice address fax:** (770) 263-8744
- **Mailing address:** 6270 SMITHPOINTE DR, NORCROSS, GA 30092-2754
- **Mailing address phone:** (770) 263-8408
- **Mailing address fax:** (770) 263-8744

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 012240 | GA | Yes |

## Other

- **Enumeration date:** 09/16/2015
- **Last updated:** 09/16/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000972694A | — | GA |