Individual
DR. JEREMY TARVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
550 PEACHTREE ST NE, 1780, ATLANTA, GA 30308-2208
(404) 589-1160
Mailing address
550 PEACHTREE ST NE, 1780, ATLANTA, GA 30308-2208
(404) 589-1160
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
055317
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN014570
GA
Other
Enumeration date
07/16/2014
Last updated
11/18/2025
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