Atlanta Family Dentistry
Dentist, General Practice in Smyrna, GA. Organization (NPI-2).
NPI number1760615629
StatusActive
Last updated in NPPESAug 26, 2009
Details
- NPI
- 1760615629
- Entity type
- Organization (NPI-2)
- Legal business name
- Atlanta Family Dentistry
- Organization subpart
- No
- Enumeration date
- Aug 26, 2009
- Last updated
- Aug 26, 2009
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DNO13196 | GA | Yes |
Practice location
2394 Cobb Pkwy SeSmyrna, GA 30080-3061
Phone 770-850-8442 · Fax 770-850-8052
Mailing address
2394 Cobb Pkwy SeSmyrna, GA 30080-3061
Phone 770-850-8442 · Fax 770-850-8052
Authorized official
Danny Jeon
Owner
7708508442
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