Provider Demographics
NPI:1780707315
Name:JEFFREY K HOSFORD&CAROL ANN KARAFOTIAS PTR
Entity type:Organization
Organization Name:JEFFREY K HOSFORD&CAROL ANN KARAFOTIAS PTR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:BAKER-LANDRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-237-2227
Mailing Address - Street 1:54 LENOX POINTE NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30324-3170
Mailing Address - Country:US
Mailing Address - Phone:404-237-2227
Mailing Address - Fax:404-237-7887
Practice Address - Street 1:54 LENOX POINTE NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30324-3170
Practice Address - Country:US
Practice Address - Phone:404-237-2227
Practice Address - Fax:404-237-7887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA95571223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty