Ga Southern Dental PPO
Ga Southern Dental PPO provides Dentist services in Atlanta, Georgia. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
857 Collier Rd NW # 14Atlanta, GA 30318-2532
Phone: (404) 355-4952
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X |
|---|
Record details
| NPI number | 1811723695 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Ga Southern Dental PPO |
| Authorized official | Erika Menjivar — Sr. Credentialing Specialist · (469) 596-6137 |
| Other names | Collier Hills Dentistry |
| NPI enumerated | September 10, 2024 |
| Last updated in NPPES | September 10, 2024 |
| Certification date | September 10, 2024 |
| Mailing address | 5830 Granite Pkwy Ste 780, Plano, TX 75024-6775 |
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Dr. Iris Garcia Bullard, DMD
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