Provider Demographics
NPI:1376766329
Name:MERCURY FREE DENTAL PC
Entity type:Organization
Organization Name:MERCURY FREE DENTAL PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:M
Authorized Official - Last Name:DRESSLER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:770-729-1222
Mailing Address - Street 1:5675 JIMMY CARTER BLVD
Mailing Address - Street 2:STE 730
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30071-2955
Mailing Address - Country:US
Mailing Address - Phone:770-729-1222
Mailing Address - Fax:770-729-1542
Practice Address - Street 1:5675 JIMMY CARTER BLVD
Practice Address - Street 2:STE 730
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30071-2955
Practice Address - Country:US
Practice Address - Phone:770-729-1222
Practice Address - Fax:770-729-1542
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA7158122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty