Organization
DENTFIRST, P.C.
Active
Other names
DentFirst - Perimeter
Organization subpart
No
Provider details
NPI number
Authorized official
GINA S JACKSON (CONTRACTS, CREDENTIALING MGR)
(770) 446-8000
Entity
Organization
Contact information
Practice address
80 PERIMETER CENTER PLACE N.E., BLDG 2700, ATLANTA, GA 30346
(770) 671-0001
Mailing address
1650 OAKBROOK DR., STE 440, NORCROSS, GA 30093
(770) 446-8000
(770) 446-1354
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7981
GA
1223G0001X
General Practice Dentistry
—
—
1223P0300X
Periodontics
—
—
1223P0700X
Prosthodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
09/20/2006
Last updated
07/16/2019
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