NPI 1780649202 · live from the CMS NPI Registry
Stephanie Joy Drew, D.M.D.
Dentist, Oral and Maxillofacial Surgery in Atlanta, GA. National Provider Identifier 1780649202, active.
NPI record
| NPI | 1780649202 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Oral and Maxillofacial Surgery 1223S0112X |
| Practice location | 1365 Clifton Rd Ne Ste 2300, Atlanta, GA 30322 |
| Practice phone | 404-778-4555 |
| Mailing address | 1365 Clifton Rd Ne Bldg B, Atlanta, GA 30322 |
| Enumerated | April 18, 2006 |
| Last updated | November 8, 2017 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Oral and Maxillofacial Radiology | 1223X0008X | 042829 (NY) |
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | 042829 (NY) |
| Dentist, Oral and Maxillofacial Pathology | 1223P0106X | 042829 (NY) |
| Dentist, Oral and Maxillofacial Surgery | 1223S0112X | 042829 (NY) |
| Oral & Maxillofacial Surgery | 204E00000X | 042829 (NY) |
| Dentist, Oral and Maxillofacial Surgery primary | 1223S0112X | dn015385 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.