Organization
BROOKHAVEN DENTAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS SIMCOX (DIRECTOR, REVENUE CYCLE MANAGEMENT)
(201) 400-1481
Entity
Organization
Contact information
Practice address
4060 PEACHTREE RD NE STE H, BROOKHAVEN, GA 30319-3020
(404) 549-2650
Mailing address
4060 PEACHTREE RD NE STE H, BROOKHAVEN, GA 30319-3020
(404) 549-2650
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/22/2025
Last updated
10/22/2025
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