Organization · Type 2 NPI
Chastain Dental Group LLC
Dental Clinic/Center · Atlanta, GA
NPI number
1245041979
Active
Practice location
4920 Roswell Rd Ste 265
Atlanta, GA 30342-2686
Fax (404) 458-9905
Mailing address
3921 Obryant Cir SE
Smyrna, GA 30082-3906
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1245041979
Chastain Dental Group LLC's National Provider Identifier is 1245041979, issued on Jan 14, 2025. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Atlanta, GA. The record was last updated on Jan 14, 2025.