Organization
PIEDMONT PERIODONTICS ATLANTA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN W SCHAEFER DMD (OWNER/PERIODONTIST)
(404) 815-4800
Entity
Organization
Contact information
Practice address
222 12TH ST NE STE 1B, ATLANTA, GA 30309-4009
(404) 815-4800
(404) 815-0002
Mailing address
222 12TH ST NE STE 1B, ATLANTA, GA 30309-4009
(404) 815-4800
(404) 815-0002
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/14/2020
Last updated
10/14/2020
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