Organization
GA SPECIALTY DENTAL SERVICES, PC
Active
Parent organization
GA SPECIALTY DENTAL SERVICES, PC
Other names
Signature Dental Implants and Oral Surgery
Organization subpart
Yes
Provider details
NPI number
Legal business name
GA SPECIALTY DENTAL SERVICES, PC
Authorized official
CHARLOTTE DASCH (DIRECTOR OF CREDENTIALING &PR)
(504) 638-0303
Entity
Organization
Contact information
Practice address
4355 JOHNS CREEK PKWY STE 530, SUWANEE, GA 30024-9100
(770) 495-9193
Mailing address
1610 54TH AVE N STE 205, NASHVILLE, TN 37209-1442
(615) 678-0759
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
02/26/2024
Last updated
02/28/2025
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