Organization
JENNIFER MCCOY DDS LAWRENCEVILLE, LLC
Active
Other names
Jennifer L McCoy DDS Cosmetic and Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER LYNN MCCOY DDS (MANAGING MEMBER)
(562) 665-1366
Entity
Organization
Contact information
Practice address
365 W PIKE ST, LAWRENCEVILLE, GA 30046-3205
(770) 963-2424
Mailing address
365 W PIKE ST, LAWRENCEVILLE, GA 30046-3205
(770) 963-2424
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN013561
GA
Other
Enumeration date
06/02/2014
Last updated
07/21/2020
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