Individual
DR. JOHN MICHAEL DIERKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS MS FICCMO
Contact information
Practice address
603 W CROSSVILLE RD, ROSWELL, GA 30075-2507
(678) 352-0919
Mailing address
603 W CROSSVILLE ROAD, ROSWELL, GA 30075
(678) 352-0919
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
9675
GA
Other
Enumeration date
06/05/2008
Last updated
09/18/2015
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