Individual
JEREMY ERIC HADIBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1545 POWERS FERRY RD SE STE 200, MARIETTA, GA 30067-9417
(709) 809-4047
Mailing address
1545 POWERS FERRY RD SE STE 200, MARIETTA, GA 30067-9417
(770) 980-9404
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN015617
GA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DS037611
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080804
—
AZ
Enumeration date
07/28/2008
Last updated
08/18/2022
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