MEDICARE: RENE BRYANT MORALES ALARCON DDS

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	122300000X	Dentist	DN124179	GA

General Provider Information

NPI Number	:	1578497541
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RENE BRYANT MORALES ALARCON DDS

Provider Business Mailing Address
First Line	:	6818 NIPTON XING
Second Line	:
City	:	FLOWERY BRANCH
State	:	GA
Zip	:	30542-5794
Country	:	US
Telephone Number	:	770-743-8854
Fax Number	:

Provider Business Practice Location Address
First Line	:	2725 HAMILTON MILL RD STE 700
Second Line	:
City	:	BUFORD
State	:	GA
Zip	:	30519-6010
Country	:	US
Telephone Number	:	678-788-6737
Fax Number	:

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

Provider Enumeration Date	:	06/12/2026
Last Update Date	:	06/12/2026

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