Organization
TOWN DENTISTRY JOHNS CREEK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER RAE FRODGE (OWNER)
(404) 476-0814
Entity
Organization
Contact information
Practice address
3719 OLD ALABAMA RD STE 400-B, JOHNS CREEK, GA 30022-8692
(678) 250-9511
Mailing address
3719 OLD ALABAMA RD STE 400-B, JOHNS CREEK, GA 30022-8692
(678) 250-9511
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/26/2023
Last updated
10/26/2023
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