Organization
FOUNTAIN OAKS DENTAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM ANDREW LITTON (VICE PRESIDENT)
(678) 879-1177
Entity
Organization
Contact information
Practice address
3763 ROSWELL RD NE, ATLANTA, GA 30342-4414
(404) 261-2211
(404) 261-1390
Mailing address
4920 ROSWELL RD NE STE 13A, ATLANTA, GA 30342-2636
(404) 261-2211
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
01/12/2007
Last updated
04/24/2008
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