Organization
AMON MEADOWS DMD PC
Active
Other names
Amon Meadows DMD PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMON A MEADOWS DMD (OWNER DENTIST)
(404) 799-8499
Entity
Organization
Contact information
Practice address
4686 SOUTH ATLANTA RD SUITE I, SMYRNA, GA 30080
(404) 799-8499
(404) 799-8496
Mailing address
4686 SOUTH ATLANTA RD SUITE I, SMYRNA, GA 30080
(404) 799-8499
(404) 799-8496
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11763
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00772461D
—
GA
Enumeration date
04/10/2007
Last updated
06/25/2008
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