Provider Demographics
NPI:1740895002
Name:ASHLEY STARNESDMD LLC
Entity type:Organization
Organization Name:ASHLEY STARNESDMD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DEDNTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:STARNES
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:404-797-8096
Mailing Address - Street 1:4567 CHARDONNAY CT
Mailing Address - Street 2:
Mailing Address - City:DUNWOODY
Mailing Address - State:GA
Mailing Address - Zip Code:30338-5519
Mailing Address - Country:US
Mailing Address - Phone:404-797-8096
Mailing Address - Fax:
Practice Address - Street 1:5482 CHAMBLEE DUNWOODY RD STE 9
Practice Address - Street 2:
Practice Address - City:DUNWOODY
Practice Address - State:GA
Practice Address - Zip Code:30338-4142
Practice Address - Country:US
Practice Address - Phone:404-797-8096
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-14
Last Update Date:2020-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty