Ideal Dental Johns Creek PC

NPI #1144921875 in Johns Creek, Georgia

Provider Information

NPI Number: 1144921875
Entity Type: Organization
Organization Name: Ideal Dental Johns Creek PC
Primary Specialty: Dentist
Enumeration Date: Mar 10, 2023
Last Updated: Oct 4, 2023

Practice Location

Address: 5855 STATE BRIDGE RD
Address 2: STE 300
City: Johns Creek
State: Georgia
ZIP Code: 30097
Phone: (470) 338-5356

Authorized Official

Name: RODNEY ALLES, DDS
Title: OWNER
Phone: (972) 331-8079

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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