Organization
ADRIENNE EMBRY AMMONS, D.D.S., P.C.
Active
Other names
Concord Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADRIENNE EMBRY AMMONS DDS (DENTIST/OWNER)
(678) 964-2148
Entity
Organization
Contact information
Practice address
11349 TARA BLVD, HAMPTON, GA 30228-6261
(678) 964-2148
Mailing address
11349 TARA BLVD, HAMPTON, GA 30228-6261
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN013238
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1265578769
INDIVIDUAL NPI
GA
Enumeration date
04/12/2012
Last updated
04/12/2012
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