Individual
DR. PETULA HOM-MINNITI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
270 SAINT CLAIRE DR, SUITE 104, ALPHARETTA, GA 30004-5728
(678) 990-8592
(678) 990-8594
Mailing address
270 SAINT CLAIRE DR, SUITE 104, ALPHARETTA, GA 30004-5728
(678) 990-8592
(678) 990-8594
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN012900
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100300
—
GA
01
—
1765417
UNITED CONCORDIA
GA
05
—
9179479
—
GA
Enumeration date
01/24/2007
Last updated
09/11/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us