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Organization

BANKHEAD DENTAL ASSO PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LEON G PYE (PRESIDENT OWNER)
(404) 794-2125
Entity
Organization

Contact information

Practice address
1947 DONALD LEE HOLLOWELL PKWY, ATLANTA, GA 30318
(404) 794-2125
(404) 794-5236
Mailing address
1947 DONALD LEE HOLLOWELL PKWY, ATLANTA, GA 30318
(404) 794-2125
(404) 794-5236

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8962
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00172235D
GA
Enumeration date
11/29/2006
Last updated
08/22/2020
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