Organization
ALPINE DENTAL GROUP OF BUCKHEAD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHAN PETERS III DDS (OWNER/DENTIST)
(404) 233-4900
Entity
Organization
Contact information
Practice address
3490 PIEDMONT RD NE, SUITE 230, ATLANTA, GA 30305-1743
(404) 233-4900
Mailing address
3490 PIEDMONT RD NE, SUITE 230, ATLANTA, GA 30305-1743
(404) 233-4900
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN012879
GA
1223G0001X
General Practice Dentistry
DN014161
GA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DN014377
GA
Other
Enumeration date
10/09/2014
Last updated
10/09/2014
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