Provider Demographics
NPI:1558723601
Name:A TO Z ORTHODONTICS LLC
Entity Type:Organization
Organization Name:A TO Z ORTHODONTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:OLEG
Authorized Official - Middle Name:
Authorized Official - Last Name:EISENSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:404-324-7877
Mailing Address - Street 1:857 COLLIER RD NW
Mailing Address - Street 2:SUITE 3
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30318-2532
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:857 COLLIER RD NW
Practice Address - Street 2:SUITE 3
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30318-2532
Practice Address - Country:US
Practice Address - Phone:404-937-3888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-27
Last Update Date:2016-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental