Healthcare Provider Details
I. General information
NPI: 1831292655
Provider Name (Legal Business Name): JAMES FINOT DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/07/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
770 HOLCOMB BRIDGE RD
ROSWELL GA
30076-1618
US
IV. Provider business mailing address
3068 OAK CHASE DR NE
ROSWELL GA
30075-5455
US
V. Phone/Fax
- Phone: 678-836-2102
- Fax: 770-441-0299
- Phone: 770-643-9889
- Fax: 770-441-0299
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 122300000X |
| Taxonomy | Dentist |
| License Number | DN009679 |
| License Number State | GA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: