Provider Demographics
NPI:1720508294
Name:ROBERT A FINKEL DDS PC
Entity Type:Organization
Organization Name:ROBERT A FINKEL DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLEN FINKEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-497-9111
Mailing Address - Street 1:1325 SATELLITE BLVD NW STE 1304
Mailing Address - Street 2:
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-4672
Mailing Address - Country:US
Mailing Address - Phone:770-497-9111
Mailing Address - Fax:770-623-5594
Practice Address - Street 1:1325 SATELLITE BLVD NW STE 1304
Practice Address - Street 2:
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024
Practice Address - Country:US
Practice Address - Phone:770-766-1328
Practice Address - Fax:770-623-5594
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-26
Last Update Date:2019-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN009042261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental