Overview
Name: PEACH STATE DENTAL IMPLANTS AND PERIODONTICS
Specialty: Periodontist
Type of Practice: Organization
Provider/Org:
Medical School:
Graduation year from medical school:
Affiliation:
Specialties
Practice Type: Dental Providers
Classification: Dentist
Specialization: Periodontics.
Definition of Specialty: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
License & NPI
License #(s): , , , ,
License State(s): , , , ,
Addresses
Practice Location: PEACH STATE DENTAL IMPLANTS AND PERIODONTICS,4300 WESTBROOK RD # F,SUWANEE,GA,300244987,US
Mailing Address: PEACH STATE DENTAL IMPLANTS AND PERIODONTICS,4300 WESTBROOK RD # F,SUWANEE,GA,300244987,US
Contact #
Practice location phone #: 7703107822
Practice location fax #:
Mailing address Phone #: 7703107822
Mailing Address fax #:
Authorized official Name/Telephone #:MRS., MALISSA, NICOLE, GIANFALA, HR/OPERATIONS MANAGER 7705008446
Misc
Date NPI was obtained: 08/20/2021
Last data data was updated: 08/20/2021
Insurances: