Organization
TOWN DENTISTRY BROOKHAVEN, LLC
Active
Other names
Town Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER RAE FRODGE DMD (OWNER)
(404) 476-0814
Entity
Organization
Contact information
Practice address
804 TOWN BLVD NE STE 2010, BROOKHAVEN, GA 30319-3147
(404) 631-6277
Mailing address
804 TOWN BLVD NE STE 2010, BROOKHAVEN, GA 30319-3147
(404) 631-6277
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/26/2023
Last updated
10/26/2023
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