Organization
JOHN A. CLINEBELL, D.D.S., M.S., P.C.
Active
Organization
JOHN A. CLINEBELL, D.D.S., M.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN ANDERSON CLINEBELL D.D.S., M.S. (PRESIDENT)
(404) 325-8116
Entity
Organization
Contact information
Practice address
3744 LAVISTA RD, SUITE A, DECATUR, GA 30033-1006
(404) 325-8116
(404) 325-0417
Mailing address
3744 LAVISTA RD, SUITE A, DECATUR, GA 30033-1006
(404) 325-8116
(404) 325-0417
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
12/19/2006
Last updated
08/22/2020
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