Organization
MICHELLE GWYN DDS, PC
Active
Other names
Perfect Portrait Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE SANDRA GWYN DDS (OWNER)
(678) 304-8408
Entity
Organization
Contact information
Practice address
5040 BILL GARDNER PKWY STE 300, LOCUST GROVE, GA 30248-3758
(678) 304-8408
(689) 304-8409
Mailing address
5040 BILL GARDNER PKWY STE 300, LOCUST GROVE, GA 30248-3758
(678) 304-8408
(689) 304-8409
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN013195
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
675686848C
—
GA
Enumeration date
11/29/2016
Last updated
11/29/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us