Healthcare Provider Details

I. General information

NPI: 1427473271
Provider Name (Legal Business Name): ANN DOWNER REOPELLE D.M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/03/2014
Last Update Date: 09/25/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1350 SPRING ST NW SIXTH FLOOR
ATLANTA GA
30309-2864
US

IV. Provider business mailing address

1350 SPRING ST NW SIXTH FLOOR
ATLANTA GA
30309-2864
US

V. Phone/Fax

Practice location:
  • Phone: 770-448-8882
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License NumberDN015024
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: