Individual
DR. JOHNATHAN S DUBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2970 CLAIRMONT RD. NE SUITE 195, BROOKHAVEN, GA 30329-1634
(404) 636-2763
(404) 321-4745
Mailing address
2970 CLAIRMONT RD. NE SUITE 195, BROOKHAVEN, GA 30329-1634
(404) 636-2763
(404) 321-4745
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
9803
GA
1223G0001X
General Practice Dentistry
Primary
GADN980
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00277472B
—
GA
Enumeration date
11/30/2006
Last updated
08/14/2026
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