Organization
NORTH ATLANTA ORAL AND MAXILLOFACIAL SURGERY
Active
Other names
Dale R. Duncan DDS
Organization subpart
No
Provider details
NPI number
Authorized official
PAM JEADEMANN (PRACTICE ADMINISTRATOR)
(770) 664-6533
Entity
Organization
Contact information
Practice address
2555 WESTSIDE PKWY STE 350, ALPHARETTA, GA 30004-4191
(770) 664-6533
Mailing address
3275 MARKET PLACE BLVD STE 175, CUMMING, GA 30041-7981
(770) 406-2060
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
—
—
Other
Enumeration date
04/09/2019
Last updated
04/09/2019
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