NPI 1275684797

Fountain Oaks Dental P.C.

Organisation Point of Service Atlanta, GA

Practice location

Address: 3763 Roswell Rd NE, Atlanta, GA 30342-4414
Phone: (404) 261-2211
Fax: (404) 261-1390
Mailing address: 4920 Roswell Rd NE STE 13a, Atlanta, GA 30342-2636

Authorised official

Name: William Andrew Litton
Title: Vice President
Phone: (678) 879-1177

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X

Other Point of Service providers in Georgia →

Registry record

NPI: 1275684797
Entity type: Organization
NPI issued: 12 Jan 2007
Record last updated: 24 Apr 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.