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Individual

DR. JAMIE GRANT AUSTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.M.D

Contact information

Practice address
11775 POINTE PL STE 101, ROSWELL, GA 30076-4652
(770) 475-3600
(770) 475-8666
Mailing address
11775 POINTE PL STE 101, ROSWELL, GA 30076-4652
(770) 475-3600

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DNO15182
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DN015182
GEORGIA BOARD OF DENTISTRY
GA
Enumeration date
06/14/2016
Last updated
06/03/2025
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