NPI 1588092407 · live from the CMS NPI Registry
Meridith Long Dautovic, DMD, MS
Dentist, Orthodontics and Dentofacial Orthopedics in Atlanta, GA. National Provider Identifier 1588092407, active.
NPI record
| NPI | 1588092407 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 3350 Riverwood Pkwy Se, Suite 2130, Atlanta, GA 30339 |
| Practice phone | 770-850-9119 |
| Enumerated | October 31, 2013 |
| Last updated | May 6, 2015 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | DN012254 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.