Organization
MOUTHPEACE DENTAL 2, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYRETTA WELLS DDS (OWNER)
(404) 793-2570
Entity
Organization
Contact information
Practice address
1833 DELOWE DR SW, BUILDING A, ATLANTA, GA 30311-4701
(404) 793-2570
(404) 793-2577
Mailing address
1833 DELOWE DR SW, BUILDING A, ATLANTA, GA 30311-4701
(404) 793-2570
(404) 793-2577
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN013505
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003180368A
—
GA
Enumeration date
04/17/2017
Last updated
04/17/2017
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