Individual
SCOTT DAVID NEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1610 LAVISTA RD NE, STE 2, ATLANTA, GA 30329-4316
(404) 471-1595
(404) 471-1597
Mailing address
622 SEMINOLE AVE NE, ATLANTA, GA 30307
(404) 583-9411
(404) 471-1597
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN011214
GA
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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