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General NPI Number Information
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NPI Number | 1316042096
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Entity Type | Organization
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Legal Business Name | ATLANTA COSMETIC AND FAMILY DENTISTRY, PC
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Dates
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Enumeration Date | 09/14/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1032 OLD PEACHTREE RD NW SUITE 312
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City | LAWRENCEVILLE
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State | GA
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Zip | 30043-3324
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Country | US
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Telephone | 770-513-1312
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Fax | 770-513-1302
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Provider Business Mailing Address
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Address Line | 1032 OLD PEACHTREE RD NW SUITE 312
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City | LAWRENCEVILLE
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State | GA
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Zip | 30043-3324
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Country | US
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Telephone | 770-513-1312
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Fax | 770-513-1302
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN ALFRED NORTON
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Credential | DDS
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Telephone | 770-513-1312
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 7224
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License Number State | GA
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