Healthcare Provider Details

I. General information

NPI: 1245267749
Provider Name (Legal Business Name): JOEL MARTIN ADLER DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

JOEL M. ADLER, DDS 2677 RIDGE VALLEY RD NW
ATLANTA GA
30327
US

IV. Provider business mailing address

JOEL M. ADLER, DDS 2677 RIDGE VALLEY RD NW
ATLANTA GA
30327
US

V. Phone/Fax

Practice location:
  • Phone: 404-351-7159
  • Fax: 404-351-7248
Mailing address:
  • Phone: 404-351-7159
  • Fax: 404-351-7248

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0106X
TaxonomyOral and Maxillofacial Pathology Dentistry
License NumberDN006391
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: