DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: STONE MOUNTAIN DENTAL 2, PC

MEDICARE: STONE MOUNTAIN DENTAL 2, PC
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
11223G0001XGeneral Practice Dentistry

General Provider Information

NPI Number : 1548810997
Entity Type Code : Organization
Provider Name (Legal Business Name) : STONE MOUNTAIN DENTAL 2, PC
Provider Business Mailing Address
First Line : 3100 FIVE FORKS TRICKUM RD SW STE 402
Second Line :
City : LILBURN
State : GA
Zip : 30047-1887
Country : US
Telephone Number : 770-837-9832
Fax Number : 404-445-8499
Provider Business Practice Location Address
First Line : 3100 FIVE FORKS TRICKUM RD SW STE 402
Second Line :
City : LILBURN
State : GA
Zip : 30047-1887
Country : US
Telephone Number : 770-837-9832
Fax Number : 404-445-8499
Authorized Official
Title or Position : PRACTICE ADMINISTRATOR
Name : MS. NIKKI ROLLS
Credential :
Telephone Number : 404-452-1164
Provider Enumeration Date : 09/18/2019
Last Update Date : 09/18/2019

Similar Medicare Providers

1588521652 — AMARA RAE LORENZO
Practice Location Address:
3100 FIVE FORKS TRICKUM RD SW STE 203
LILBURN, GA
30047-1887
Practice Phone: 470-485-2220
Practice Fax: 855-803-6288
1609478254 — AJA NIXON
Practice Location Address:
3100 FIVE FORKS TRICKUM RD SW STE 203
LILBURN, GA
30047-1887
Practice Phone: 716-578-5610
Practice Fax:
1932374618 — KIDS DOC PEDIATRICS
Practice Location Address:
3100 FIVE FORKS TRICKUM RD SW STE 204
LILBURN, GA
30047-1887
Practice Phone: 770-978-7701
Practice Fax: 770-978-7822
1417222332 — RITA GARCIA CABRERA M.S., BCBA
Practice Location Address:
3100 FIVE FORKS TRICKUM RD SW STE 203
LILBURN, GA
30047-1887
Practice Phone: 470-485-2220
Practice Fax: 855-803-6288
1558742882 — RAINBOW STEPS CORPORATION
Practice Location Address:
3100 FIVE FORKS TRICKUM RD SW STE 203
LILBURN, GA
30047-1887
Practice Phone: 470-485-2220
Practice Fax:
1821552241 — TKEYAH KIANA PIANKHI
Practice Location Address:
3100 FIVE FORKS TRICKUM RD SW STE 203
LILBURN, GA
30047-1887
Practice Phone: 470-485-2220
Practice Fax:

Directions to “STONE MOUNTAIN DENTAL 2, PC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.