Organization
PEACHTREE PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRY K MARCUM D.M.D. (DENTIST)
(770) 486-0054
Entity
Organization
Contact information
Practice address
310 STEVENS ENTRY, PEACHTREE CITY, GA 30269-1325
(770) 486-0054
(770) 486-8050
Mailing address
310 STEVENS ENTRY, PEACHTREE CITY, GA 30269-1325
(770) 486-0054
(770) 486-8050
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
11234
GA
1223P0221X
Pediatric Dentistry
12275
GA
Other
Enumeration date
02/28/2007
Last updated
08/22/2020
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