Lifetime Dentistry

NPI #1376930644 in Suwanee, Georgia

Provider Information

NPI Number: 1376930644
Entity Type: Organization
Organization Name: Lifetime Dentistry
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 23, 2015
Last Updated: Jan 25, 2016

Practice Location

Address: 3921 JOHNS CREEK CT
Address 2: SUITE A
City: Suwanee
State: Georgia
ZIP Code: 30024-1219
Phone: (770) 674-0226

Authorized Official

Name: MS. DONNA PHILLIPS, RDH
Title: PRACTICE MANAGER
Phone: (770) 674-0226

Specialties & Taxonomy Codes

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

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