Organization
KENNESTONE PERIODONTICS AT WINDY HILL, PC
Active
Other names
Lee H Silverstein, DDS MS PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEE HOWARD SILVERSTEIN DDS, MS (PRESIDENT)
(770) 952-5432
Entity
Organization
Contact information
Practice address
2070 S PARK PL SE, SUITE 200, ATLANTA, GA 30339-2045
(770) 952-5432
(770) 952-3011
Mailing address
2070 S PARK PL SE, SUITE 200, ATLANTA, GA 30339-2045
(770) 952-5432
(770) 952-3011
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
10742
GA
1223P0300X
Periodontics
Primary
11384
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1811082183
PROVIDER NPI NUMBER - SILVERSTEIN
GA
01
—
1982798716
PERSONAL NPI NUMBER - SHATZ
GA
Enumeration date
01/28/2011
Last updated
01/28/2011
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