North Decatur Dentistry, PC

NPI #1154868917 in Decatur, Georgia

Provider Information

NPI Number: 1154868917
Entity Type: Organization
Organization Name: North Decatur Dentistry, PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 31, 2017
Last Updated: Jan 31, 2017

Practice Location

Address: 2570 BLACKMON DRIVE
Address 2: SUITE 320
City: Decatur
State: Georgia
ZIP Code: 30033
Phone: (678) 203-3462

Authorized Official

Name: DR. KATIE L MCCANN, DDS
Title: OWNER
Phone: (678) 203-3462

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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