Provider Demographics
NPI:1851465132
Name:DENTAL SERVICES PC
Entity Type:Organization
Organization Name:DENTAL SERVICES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NEXT PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:OSBORNE
Authorized Official - Last Name:POST
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:404-294-8385
Mailing Address - Street 1:4122 E PONCE DE LEON AVE
Mailing Address - Street 2:SUITE #2
Mailing Address - City:CLARKSTON
Mailing Address - State:GA
Mailing Address - Zip Code:30021-1838
Mailing Address - Country:US
Mailing Address - Phone:404-294-8385
Mailing Address - Fax:404-294-4000
Practice Address - Street 1:4122 E PONCE DE LEON AVE
Practice Address - Street 2:SUITE #2
Practice Address - City:CLARKSTON
Practice Address - State:GA
Practice Address - Zip Code:30021-1838
Practice Address - Country:US
Practice Address - Phone:404-294-8385
Practice Address - Fax:404-294-4000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty