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NPI Code Detail

MEDICARE: EAST MARIETTA FAMILY DENTISTRY

MEDICARE: EAST MARIETTA FAMILY DENTISTRY
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
1261QD0000XDental Clinic/Center7874GA

General Provider Information

NPI Number : 1831316280
Entity Type Code : Organization
Provider Name (Legal Business Name) : EAST MARIETTA FAMILY DENTISTRY
Provider Business Mailing Address
First Line : 3823 ROSWELL RD
Second Line : SUITE 104
City : MARIETTA
State : GA
Zip : 30062-6278
Country : US
Telephone Number : 770-977-1632
Fax Number : 770-578-8140
Provider Business Practice Location Address
First Line : 3823 ROSWELL RD
Second Line : SUITE 104
City : MARIETTA
State : GA
Zip : 30062-6278
Country : US
Telephone Number : 770-977-1632
Fax Number : 770-578-8140
Authorized Official
Title or Position : OWNER
Name : DR. WILLIAM ROBERT HANSMANN
Credential : D.D.S.
Telephone Number : 770-977-1632
Provider Enumeration Date : 04/19/2007
Last Update Date : 08/22/2020

Similar Medicare Providers

1205839925 — CLARENCE LYN CROOMS M.D.
Practice Location Address:
3823 ROSWELL RD , SUITE 202
MARIETTA, GA
30062-6278
Practice Phone: 770-579-8558
Practice Fax: 770-973-1934
1134347222 — DR. WILLIAM ROBERT HANSMANN D.D.S.
Practice Location Address:
3823 ROSWELL RD , SUITE 104
MARIETTA, GA
30062-6278
Practice Phone: 770-977-1632
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1154530293 — MICHAEL L. LEINGANG, III, DDS, PC
Practice Location Address:
3823 ROSWELL RD , SUITE 201
MARIETTA, GA
30062-6278
Practice Phone: 770-977-1892
Practice Fax: 678-560-5261
1922259563 — FAMILY WELLCARE CENTER INC.
Practice Location Address:
3823 ROSWELL RD , SUITE 214
MARIETTA, GA
30062-6278
Practice Phone: 678-886-4602
Practice Fax:
1982855094 — DR. RICHARD H. ERICKSON DDS
Practice Location Address:
3823 ROSWELL RD , SUITE 104
MARIETTA, GA
30062-6278
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Practice Fax: 770-973-0496
1447483730 — SPELIOS AND ASSOCIATES- SUMMITT PC
Practice Location Address:
3823 ROSWELL RD , SUITE 205
MARIETTA, GA
30062-6278
Practice Phone: 770-973-9275
Practice Fax: 770-973-1915

Directions to “EAST MARIETTA FAMILY DENTISTRY ” 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.

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