Organization
DENTISTRY OF BROOKHAVEN CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEE CASEMENT (BILLING COLLECTIONS)
(770) 651-1000
Entity
Organization
Contact information
Practice address
2221 JOHNSON FERRY RD NE STE 2A, BROOKHAVEN, GA 30319-2203
(770) 651-1000
(678) 212-1973
Mailing address
10930 CRABAPPLE RD STE 106, ROSWELL, GA 30075-5825
(770) 651-1000
(678) 212-1973
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
06/09/2025
Last updated
06/09/2025
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