Organization
JLM DENTISTRY OF STOCKBRIDGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARRETT L MANNING D.D.S./MPH (OWNER)
(678) 640-5272
Entity
Organization
Contact information
Practice address
3579 HIGHWAY 138 SE, SUITE 202, STOCKBRIDGE, GA 30281-4142
(770) 474-6111
(770) 474-5897
Mailing address
4450 S COBB DR SE, SMYRNA, GA 30080-6329
(770) 433-1515
(770) 433-0039
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN013349
GA
Other
Enumeration date
06/28/2011
Last updated
06/28/2011
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