Organization
PREMIER DENTAL CARE OF BUCKHEAD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRENT MICHAEL COLLETT DMD (MEMBER)
(404) 266-0111
Entity
Organization
Contact information
Practice address
3580 PIEDMONT RD NE STE 113, ATLANTA, GA 30305-1506
(404) 266-0111
Mailing address
3580 PIEDMONT RD NE STE 113, ATLANTA, GA 30305-1506
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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