Provider Demographics
NPI:1568485217
Name:ATKINSON, ERIK SCOTT (DDS)
Entity Type:Individual
Prefix:DR
First Name:ERIK
Middle Name:SCOTT
Last Name:ATKINSON
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5530 WINDWARD PKWY STE 410
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30004-8968
Mailing Address - Country:US
Mailing Address - Phone:770-360-5505
Mailing Address - Fax:770-360-5687
Practice Address - Street 1:5530 WINDWARD PKWY STE 410
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30004-8968
Practice Address - Country:US
Practice Address - Phone:770-360-5505
Practice Address - Fax:770-360-5687
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN0128461223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice