Healthcare Provider Details

I. General information

NPI: 1700689635
Provider Name (Legal Business Name): DANNA REFAI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2025
Last Update Date: 08/30/2026
Certification Date: 08/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5230 MCGINNIS FERRY RD # 10A
ALPHARETTA GA
30005-3921
US

IV. Provider business mailing address

1063 GREYSTONE CRST
HOOVER AL
35242-7013
US

V. Phone/Fax

Practice location:
  • Phone: 678-527-1130
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN124317
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: