Organization
KATHERINE L. FRY DMD PC
Active
Other names
Vinings Endodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHERINE FRY HIDI DMD (PRESIDENT)
(205) 901-4585
Entity
Organization
Contact information
Practice address
3065 AKERS MILL RD SE STE 225, ATLANTA, GA 30339-3124
(678) 990-3363
Mailing address
1387 PIERCE AVE SE, SMYRNA, GA 30080-2148
(678) 990-3363
(678) 401-2298
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13702
LICENSE NUMBER
GA
01
—
1427247402
NPI INDIVIDUAL
—
01
—
5473
LICENSE NUMBER
AL
Enumeration date
06/06/2018
Last updated
08/16/2022
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