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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GA SOTHERN DENTAL PPO

Active Organization

GA SOTHERN DENTAL PPO is a Dentist organization located in MARIETTA, Georgia. NPI 1750117537 is currently active in the NPPES registry. Verify at CMS.

Dentist · MARIETTA, GA

Registration Details

NPI Number
1750117537
Provider Type
Organization
NPI Issued
Sep 10, 2024 (1.9226808324995 yrs)
Last Updated
Sep 10, 2024

Practice Information

Address
3911 MARY ELIZA TRCE NW STE 100
MARIETTA, GA, 300641087
Browse GA providers · Browse ZIP 30064
Phone
7703626417
Primary Specialty
Dentist
122300000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.