Healthcare Provider Details

I. General information

NPI: 1578497541
Provider Name (Legal Business Name): RENE BRYANT MORALES ALARCON DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2725 HAMILTON MILL RD STE 700
BUFORD GA
30519-6010
US

IV. Provider business mailing address

6818 NIPTON XING
FLOWERY BRANCH GA
30542-5794
US

V. Phone/Fax

Practice location:
  • Phone: 678-788-6737
  • Fax:
Mailing address:
  • Phone: 770-743-8854
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN124179
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: