Individual
DR. STEPHANIE JOY DREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
1365 CLIFTON RD NE STE 2300, ATLANTA, GA 30322-4405
(404) 778-4555
(404) 778-5879
Mailing address
1365 CLIFTON RD NE BLDG B, ATLANTA, GA 30322-1013
(404) 778-4555
(404) 778-5879
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
042829
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
042829
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN015385
GA
1223X0008X
Oral and Maxillofacial Radiology Dentistry
042829
NY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
042829
NY
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
042829
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01463525
—
NY
Enumeration date
04/18/2006
Last updated
11/08/2017
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