Organization
ATLANTA DENTAL CENTER, LLC
Active
Other names
Atlanta Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA JEAN BENK (PRESIDENT)
(404) 872-7755
Entity
Organization
Contact information
Practice address
620 PEACHTREE ST NE STE 204, ATLANTA, GA 30308-2355
(404) 872-7755
(877) 583-7599
Mailing address
620 PEACHTREE ST NE STE 204, ATLANTA, GA 30308-2355
(404) 872-7755
(877) 583-7599
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0121147
GA
122300000X
Dentist
DN014327
GA
122300000X
Dentist
DN014823
GA
1223G0001X
General Practice Dentistry
014152
GA
1223G0001X
General Practice Dentistry
Primary
10515
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043528193
DR. JESSICA LEE
GA
01
—
1568878684
DR. BRITTANY CORBETT
GA
01
—
1699868281
DR. ROBERT SCHMIDT
GA
01
—
1750438685
DR. MARIA PAPPAS
GA
01
—
1992890107
DR. ROBERT VAZQUEZ
GA
Enumeration date
11/19/2014
Last updated
11/19/2014
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