Local Dental Partners, LLC
NPI #1942738901 in Loganville, Georgia
Provider Information
- NPI Number
- 1942738901
- Entity Type
- Organization
- Organization Name
- Local Dental Partners, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- LOCAL DENTAL PARTNERS, LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jun 2, 2017
- Last Updated
- Jul 14, 2017
Practice Location
- Address
- 4353 ATLANTA HIGHWAY SUITE. 300
- City
- Loganville
- State
- Georgia
- ZIP Code
- 30052
- Phone
- (770) 405-2030
Authorized Official
- Name
- ASHLEY NICHELLE THOMAS
- Title
- CREDENTIALING ADMINISTRATOR
- Phone
- (770) 450-2030
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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