Organization
DIXIE STREET DENTAL LLC
Active
Other names
Dental Center of Carrollton
Organization subpart
No
Provider details
NPI number
Authorized official
TROY HUNTER CHASTAIN DMD (DENTIST)
(404) 909-5314
Entity
Organization
Contact information
Practice address
409 DIXIE ST, CARROLLTON, GA 30117-3921
(770) 834-9682
Mailing address
409 DIXIE ST, CARROLLTON, GA 30117-3921
(770) 834-9682
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/25/2025
Last updated
03/25/2025
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