Grassroots Medical, Grassroots Dental is a Dental Clinic in Powder Springs, Georgia. It is located at 4485 N Town Sq, Suite 108, Powder Springs, GA and its contact number is 678-398-6548. The authorized person for Grassroots Medical, Grassroots Dental is Mr. David G Aten
who is Chairmen Of The Board of the clinic and their contact number is 678-398-6548. Grassroots Medical, Grassroots Dental Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Grassroots Medical, Grassroots Dental Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Grassroots Medical, Grassroots Dental
Specialization:
Dentistry
Clinic Address:
4485 N Town Sq, Suite 108, Powder Springs, Georgia, 30127-2242
Phone:
678-398-6548
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Mr. David G Aten
Position:
Chairmen Of The Board
Contact Number:
678-398-6548
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Grassroots Medical, Grassroots Dental clinic are as mentioned below.
NPI Number:
1598052706
NPI Enumeration Date:
08 Jul, 2011
NPI Last Update On:
30 Jun, 2015
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Grassroots Medical, Grassroots Dental are as mentioned below.
Specialization
License Number
State
Status
General Practice
Primary
Dentist
Secondary
General Practice
Secondary
Dental Hygienist
Secondary
Dental Assistant
Secondary
Family Medicine
Secondary
Public Health & General Preventive Medicine
Secondary
Interventional Pain Medicine
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
003141372A
Medicaid
Georgia
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Grassroots Medical, Grassroots Dental Po Box 340, Powder Springs, Georgia
Zip:
30127-0340
Phone Number:
678-398-6548
Patients can reach Grassroots Medical, Grassroots Dental at 4485 N Town Sq, Suite 108, Powder Springs, Georgia or can call to book an appointment on 678-398-6548. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.