Provider Demographics
NPI:1003935099
Name:SPRAYBERRY DENTAL ASSOCIATES
Entity Type:Organization
Organization Name:SPRAYBERRY DENTAL ASSOCIATES
Other - Org Name:JEFFREY K. KNAUER, DDS, PC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:K
Authorized Official - Last Name:KNAUER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:770-977-0827
Mailing Address - Street 1:2663 SANDY PLAINS RD
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30066-4256
Mailing Address - Country:US
Mailing Address - Phone:770-977-0827
Mailing Address - Fax:770-973-6764
Practice Address - Street 1:2663 SANDY PLAINS RD
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30066-4256
Practice Address - Country:US
Practice Address - Phone:770-977-0827
Practice Address - Fax:770-973-6764
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty