Perfect Portrait Family Dentistry is a Dental Clinic in Locust Grove, Georgia. It is located at 5040 Bill Gardner Pkwy Ste 300, Locust Grove, GA and its contact number is 678-304-8408. The authorized person for Perfect Portrait Family Dentistry is Dr. Michelle Sandra Gwyn
who is Owner of the clinic and their contact number is 678-304-8408. The primary license number for Perfect Portrait Family Dentistry is DN013195 (Dentist) in Georgia. Perfect Portrait Family Dentistry 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:
Perfect Portrait Family Dentistry Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Perfect Portrait Family Dentistry
Specialization:
Dentistry
Clinic Address:
5040 Bill Gardner Pkwy Ste 300, Locust Grove, Georgia, 30248-3758
Phone:
678-304-8408
Fax:
689-304-8409
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. Michelle Sandra Gwyn
Position:
Owner
Contact Number:
678-304-8408
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 Perfect Portrait Family Dentistry clinic are as mentioned below.
NPI Number:
1740723311
NPI Enumeration Date:
29 Nov, 2016
NPI Last Update On:
29 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 Perfect Portrait Family Dentistry are as mentioned below.
Specialization
License Number
State
Status
Dentist
DN013195
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
675686848C
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:
Perfect Portrait Family Dentistry 5040 Bill Gardner Pkwy Ste 300, Locust Grove, Georgia
Zip:
30248-3758
Phone Number:
678-304-8408
Fax Number:
689-304-8409
Patients can reach Perfect Portrait Family Dentistry at 5040 Bill Gardner Pkwy Ste 300, Locust Grove, Georgia or can call to book an appointment on 678-304-8408. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.