Organization · Type 2 NPI

Avala Dental Providers

General Practice Dentistry · Norcross, GA

NPI number 1487953741 Active

Practice location

5495 Jimmy Carter Blvd., Suite A-14
Norcross, GA 30093

Fax (770) 368-9119

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	DN014034 (GA)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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NPI record

NPI: 1487953741
Entity type: Organization (Type 2)
Issued: Mar 24, 2011
Last updated: Jan 22, 2013
Status: Active
Subpart: Yes of Comfort Dental Lounge

Other names

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Comfort Dental Lounge · doing business as

Authorized official

Dr. Tiffany Nicole Jamison, DDS
Manager
(202) 714-8433

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1487953741

Avala Dental Providers's National Provider Identifier is 1487953741, issued on Mar 24, 2011. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Norcross, GA. The record was last updated on Jan 22, 2013.