Provider Demographics
NPI:1083885883
Name:M & T SYNERGY, PC
Entity Type:Organization
Organization Name:M & T SYNERGY, PC
Other - Org Name:FAMILY & COSMETIC DENTAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DDS
Authorized Official - Prefix:
Authorized Official - First Name:MITUL
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-888-3384
Mailing Address - Street 1:2627 PEACHTREE PKWY
Mailing Address - Street 2:SUITE 440
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-1018
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2627 PEACHTREE PKWY
Practice Address - Street 2:SUITE 440
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-1018
Practice Address - Country:US
Practice Address - Phone:770-888-3384
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-19
Last Update Date:2008-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN0131531223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty