Organization
GROUP 1 ORTHODONTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEODORE MARKOS DMD (PRESIDENT/ DENTIST)
(617) 909-5459
Entity
Organization
Contact information
Practice address
1350 SPRING ST NW, ATLANTA, GA 30309-2864
(770) 648-1082
Mailing address
23 OLDE VILLAGE DR, SALEM, MA 01970-1782
(617) 909-5459
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
10/25/2022
Last updated
06/05/2023
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