Individual
NIKKY SHOTWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5461 MERIDIAN MARK RD STE 200, ATLANTA, GA 30342-4014
(404) 785-2072
(404) 785-5892
Mailing address
5461 MERIDIAN MARK RD STE 200, ATLANTA, GA 30342-4014
(404) 785-2072
(404) 785-5892
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN014728
GA
Other
Enumeration date
04/21/2014
Last updated
06/06/2022
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