Bruce Alan Edelstein in Atlanta - Periodontics
Bruce Alan Edelstein - NPI 1164549580
Bruce Alan Edelstein is a Periodontics in Atlanta, Georgia. Bruce Alan Edelstein practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Bruce Alan Edelstein is 1164549580. The last update date is 2007-07-08.
Bruce Alan Edelstein's current location address is 2045 Peachtree Rd Ne, Atlanta, Georgia. You can contact this provider via phone number 4043521911 and fax number 4043523661. The mailing address for Bruce Alan Edelstein is 2045 Peachtree Rd Ne, Atlanta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce Alan Edelstein |
|---|---|
| Address | 2045 Peachtree Rd Ne, Atlanta, Georgia |
| Phone Number | 4043521911 |
| Fax Number | 4043523661 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1164549580 |
|---|---|
| Provider Enumeration Date | 2007-03-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2045 Peachtree Rd Ne |
|---|---|
| City | Atlanta |
| State | Georgia (GA) |
| Post Code | 303091414 |
| Phone Number | 4043521911 |
| Fax Number | 4043523661 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | DN009420 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Bruce Alan Edelstein by the Centers for Medicare & Medicaid Services?
The Bruce Alan Edelstein has been assigned the NPI (National Provider Identifier) 1164549580 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Bruce Alan Edelstein's facilities are geographically located?
The facilities of Bruce Alan Edelstein are physically situated at the following location: 2045 Peachtree Rd Ne, Atlanta, GA, 303091414.
What is the area of specialization for Bruce Alan Edelstein, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Bruce Alan Edelstein is Periodontics, and the corresponding taxonomy code that categorizes this area of expertise is 1223P0300X.
On what date did the Bruce Alan Edelstein receive its 1164549580 assignment from the Centers for Medicare & Medicaid Services?
The Bruce Alan Edelstein was assigned its 1164549580 by the Centers for Medicare & Medicaid Services on 2007-03-22.
As of what date were the details related to Bruce Alan Edelstein most recently updated or revised?
The information pertaining to Bruce Alan Edelstein, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
NPI Number: 1972505162
Address: 1237 Salem Gate Drive, Conyers, GA