Provider Demographics
NPI:1013548577
Name:DENTAL CARE 24 7 STAFFING ATLANTA, LLC
Entity Type:Organization
Organization Name:DENTAL CARE 24 7 STAFFING ATLANTA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LEAD DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:BURKE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:850-380-7808
Mailing Address - Street 1:285 CENTENNIAL OLYMPIC PARK DR NW # CU-2B
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30313-1834
Mailing Address - Country:US
Mailing Address - Phone:470-719-4888
Mailing Address - Fax:404-495-4543
Practice Address - Street 1:285 CENTENNIAL OLYMPIC PARK DR NW # CU-2B
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30313-1834
Practice Address - Country:US
Practice Address - Phone:470-719-4888
Practice Address - Fax:404-495-4543
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-03
Last Update Date:2020-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty