Organization
BOOKER ORAL SURGERY & IMPLANT CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY C NEWTON-BOOKER DDS (DENTIST/OWNER)
(770) 932-8869
Entity
Organization
Contact information
Practice address
335 PEACHTREE INDUSTRIAL BLVD, SUITE 2210, SUWANEE, GA 30024-3756
(770) 932-8869
(770) 932-8870
Mailing address
335 PEACHTREE INDUSTRIAL BLVD, SUITE 2210, SUWANEE, GA 30024-3756
(770) 932-8869
(770) 932-8870
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN012963
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1538204524
INDIVIDUAL NPI NUMBER
GA
Enumeration date
02/05/2013
Last updated
02/21/2014
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