Provider Demographics
NPI:1649387127
Name:FINKELMAN, JUDITH A (DDS)
Entity Type:Individual
Prefix:DR
First Name:JUDITH
Middle Name:A
Last Name:FINKELMAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3903 JILES RD NW STE 210
Mailing Address - Street 2:
Mailing Address - City:KENNESAW
Mailing Address - State:GA
Mailing Address - Zip Code:30144-4613
Mailing Address - Country:US
Mailing Address - Phone:770-590-9050
Mailing Address - Fax:
Practice Address - Street 1:8560 HOLCOMB BRIDGE RD
Practice Address - Street 2:STE 119
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30022-5988
Practice Address - Country:US
Practice Address - Phone:770-642-9824
Practice Address - Fax:770-642-8540
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2018-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN0103181223G0001X, 1223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA092063314Medicaid