Gregg R Codelli is a Periodontics in Atlanta, Georgia. Gregg R Codelli practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Gregg R Codelli is 1821141870. The last update date is 2007-07-08.
Gregg R Codelli's current location address is 3941 Glenncrest Ct Ne, Atlanta, Georgia. You can contact this provider via phone number 7706680604 and fax number 7702344065. The mailing address for Gregg R Codelli is 3941 Glenncrest Ct Ne, Atlanta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregg R Codelli |
|---|---|
| Address | 3941 Glenncrest Ct Ne, Atlanta, Georgia |
| Phone Number | 7706680604 |
| Fax Number | 7702344065 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1821141870 |
|---|---|
| Provider Enumeration Date | 2007-01-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3941 Glenncrest Ct Ne |
|---|---|
| City | Atlanta |
| State | Georgia (GA) |
| Post Code | 303191893 |
| Phone Number | 7706680604 |
| Fax Number | 7702344065 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 10306 |
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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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What is the unique 10-digit identification code assigned to Gregg R Codelli by the Centers for Medicare & Medicaid Services?
The Gregg R Codelli has been issued the NPI (National Provider Identifier) 1821141870, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Gregg R Codelli's physical address?
The Gregg R Codelli is physically located at 3941 Glenncrest Ct Ne, in the city of Atlanta, GA, with the postal code 303191893.
What is the Gregg R Codelli's specialty and taxonomy code?
The Gregg R Codelli's specialty is Periodontics, and the corresponding taxonomy code is 1223P0300X.
On what date did the Gregg R Codelli receive the assignment of its 1821141870 from the Centers for Medicare & Medicaid Services?
The Gregg R Codelli was issued its 1821141870 by the Centers for Medicare & Medicaid Services on 2007-01-20.
When was the information pertaining to Gregg R Codelli most recently updated or revised?
The details related to Gregg R Codelli, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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