Organization · Type 2 NPI

Fountain Oaks Dental P.c.

Point of Service · Atlanta, GA

NPI number 1275684797 Active

Practice location

3763 Roswell Rd NE
Atlanta, GA 30342-4414

Call (404) 261-2211 Map

Fax (404) 261-1390

Mailing address

4920 Roswell Rd NE Ste 13A
Atlanta, GA 30342-2636

Specialties and licenses

TaxonomyCodeLicense
Point of Service Primary 305S00000XNone listed

Point of Service: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

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About NPI 1275684797

Fountain Oaks Dental P.c.'s National Provider Identifier is 1275684797, issued on Jan 12, 2007. The primary taxonomy on file is Point of Service (305S00000X), and the practice location is in Atlanta, GA. The record was last updated on Apr 24, 2008.