# IMAGIX DENTAL OF JOHNS CREEK LLC

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

## Provider details

- **NPI number:** 1992187710
- **Authorized official:** MIKE COLE (VP INSURANCE PLAN MANAGEMENT)
- **Authorized official phone:** (727) 726-1611

## Contact information

- **Practice address:** 4245 JOHNS CREEK PKWY, SUITE C, SUWANEE, GA 30024-9121
- **Practice address phone:** (678) 990-5980
- **Mailing address:** 4245 JOHNS CREEK PKWY, SUITE C, SUWANEE, GA 30024-9121
- **Mailing address phone:** (678) 990-5980

## Taxonomy

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

## Other

- **Enumeration date:** 06/29/2015
- **Last updated:** 06/29/2015