Organization
DILLON & GREENE DENTAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRACY DILLON DDS (DENTIST)
(770) 435-6888
Entity
Organization
Contact information
Practice address
2220 ATLANTA RD SE, SUITE 104, SMYRNA, GA 30080-1583
(770) 435-6888
(770) 432-7506
Mailing address
2220 ATLANTA RD SE, SUITE 104, SMYRNA, GA 30080-1583
(770) 435-6888
(770) 432-7506
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
11/19/2015
Last updated
03/09/2016
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