MEDICARE: ERIN DENISE DOFFONEY RDH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	124Q00000X	Dental Hygienist	DH008098	GA

General Provider Information

NPI Number	:	1093654345
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN DENISE DOFFONEY RDH

Provider Business Mailing Address
First Line	:	113 QUIVAS CT SW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30331-7524
Country	:	US
Telephone Number	:	404-884-8822
Fax Number	:

Provider Business Practice Location Address
First Line	:	3280 HOWELL MILL RD NW STE 331
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30327-4109
Country	:	US
Telephone Number	:	404-261-9593
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/25/2026
Last Update Date	:	03/25/2026

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Directions to “ ERIN DENISE DOFFONEY RDH” Practice Location

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