Creekside Dentistry, LLC
NPI #1558768770 in Loganville, Georgia
Provider Information
- NPI Number
- 1558768770
- Entity Type
- Organization
- Organization Name
- Creekside Dentistry, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 3, 2014
- Last Updated
- Dec 3, 2014
Practice Location
- Address
- 3238 KRISAM CREEK DR
- City
- Loganville
- State
- Georgia
- ZIP Code
- 30052-7942
- Phone
- (770) 466-0474
Authorized Official
- Name
- CYNDI SIMMONS
- Title
- PRACTICE MANAGER
- Phone
- (770) 466-0474
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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