Stone Mountain Dental
NPI #1992958722 in Stone Mountain, Georgia
Provider Information
- NPI Number
- 1992958722
- Entity Type
- Organization
- Organization Name
- Stone Mountain Dental
- Primary Specialty
- Health Maintenance Organization
- Enumeration Date
- Oct 24, 2008
- Last Updated
- Oct 24, 2008
Practice Location
- Address
- 4813 ROCKBRIDGE RD STE 26
- City
- Stone Mountain
- State
- Georgia
- ZIP Code
- 30083-4200
- Phone
- (404) 292-8383
Authorized Official
- Name
- DR. SCHADALE STEVENS, D.D.S.
- Title
- PRESIDENT
- Phone
- (404) 292-8383
Specialties & Taxonomy Codes
| Specialty |
|---|
| Health Maintenance Organization |
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