Organization
PIEDMONT PERIODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SCOTT BARTRUFF DMD (DMD)
(404) 815-4800
Entity
Organization
Contact information
Practice address
222 12TH STREET, SUITE 1B, ATLANTA, GA 30309-5044
(404) 815-4800
(404) 815-0002
Mailing address
1512 PIEDMONT AVE NE, SUITE 200A, ATLANTA, GA 30324-5044
(404) 815-4800
(404) 815-0002
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN012389
GA
Other
Enumeration date
03/02/2007
Last updated
04/17/2012
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