Organization
HEARTLAND DENTAL CARE OF GEORGIA, P.C.
Active
Parent organization
HEARTLAND DENTAL CARE OF GEORGIA, P.C.
Other names
MyNorthAtlantaDentist.com
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEARTLAND DENTAL CARE OF GEORGIA, P.C.
Authorized official
KIM WILSON (INSURANCE/CREDENTIALING)
(217) 540-5100
Entity
Organization
Contact information
Practice address
5252 ROSWELL RD, SUITE 105, ATLANTA, GA 30342-1969
(404) 252-5252
(404) 252-1676
Mailing address
5252 ROSWELL RD, SUITE 105, ATLANTA, GA 30342-1969
(404) 252-5252
(404) 252-1676
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/30/2012
Last updated
01/30/2012
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