is a Dental Clinic in Tucker, Georgia. It is located at 3939 Lavista Rd, Suite 320e, Tucker, GA and its contact number is 770-493-9992. The authorized person for is Dr. Ayehsa Rahman
who is Dentist of the clinic and their contact number is 770-493-9992. The primary license number for is DN012696 (Dentist) in Georgia. 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:
Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Specialization:
Dentistry
Clinic Address:
3939 Lavista Rd, Suite 320e, Tucker, Georgia, 30084-5162
Phone:
770-493-9992
Fax:
770-939-5125
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:
Dr. Ayehsa Rahman
Position:
Dentist
Contact Number:
770-493-9992
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 clinic are as mentioned below.
NPI Number:
1285177295
NPI Enumeration Date:
22 Nov, 2016
NPI Last Update On:
22 Nov, 2016
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for are as mentioned below.
Specialization
License Number
State
Status
Dentist
DN012696
Georgia
Primary
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
1225110356
Other
Georgia
Individual Npi
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2018 Montreal Rd, Tucker, Georgia
Zip:
30084-5203
Phone Number:
770-493-9992
Fax Number:
770-939-5125
Patients can reach at 3939 Lavista Rd, Suite 320e, Tucker, Georgia or can call to book an appointment on 770-493-9992. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 February, 2025.