Individual
DR. JEFFREY T FESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1455 OLD ALABAMA RD, SUITE 120, ROSWELL, GA 30076-2129
(770) 587-4202
(770) 587-2412
Mailing address
1455 OLD ALABAMA RD, SUITE 120, ROSWELL, GA 30076-2129
(770) 587-4202
(770) 587-2412
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10586
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
546011
UNITED CONCORDIA
GA
Enumeration date
10/10/2006
Last updated
07/08/2007
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