Individual
DR. MICHAEL KEVIN PHELAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4330 S LEE ST BLDG 500, BUFORD, GA 30518-3072
(770) 271-0833
(770) 614-6460
Mailing address
4330 S LEE ST BLDG 500, BUFORD, GA 30518-3072
(770) 271-0833
(770) 614-6460
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
010418
GA
Other
Enumeration date
06/12/2007
Last updated
01/10/2020
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