Organization
JBM-DENT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BARBARA ELIZABETH ALLEN (OFFICE MANAGER / INS. SPECIALIST)
(770) 319-7755
Entity
Organization
Contact information
Practice address
1336 GLENWOOD AVE SE, ATLANTA, GA 30316-2048
(404) 688-0013
Mailing address
1336 GLENWOOD AVENUE SE, ATLANTA, GA 30316
(404) 688-0013
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9493
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164596698
—
GA
Enumeration date
05/29/2012
Last updated
05/29/2012
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