MEDICARE: DR. JARRETT MANNING D.D.S., M.P.H.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	DN013349	GA

General Provider Information

NPI Number	:	1326267576
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JARRETT MANNING D.D.S., M.P.H.

Provider Business Mailing Address
First Line	:	1060 WINDY HILL RD SE STE 205
Second Line	:
City	:	SMYRNA
State	:	GA
Zip	:	30080-2065
Country	:	US
Telephone Number	:	770-433-1515
Fax Number	:	770-433-0039

Provider Business Practice Location Address
First Line	:	1060 WINDY HILL RD SE STE 205
Second Line	:
City	:	SMYRNA
State	:	GA
Zip	:	30080-2065
Country	:	US
Telephone Number	:	770-433-1515
Fax Number	:	770-433-0039

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/25/2007
Last Update Date	:	08/06/2024

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