Provider Demographics
NPI:1083836126
Name:ROYAL E FINK DDS PC
Entity type:Organization
Organization Name:ROYAL E FINK DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ROYAL
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:FINK
Authorized Official - Suffix:JR
Authorized Official - Credentials:DDS
Authorized Official - Phone:770-945-7077
Mailing Address - Street 1:6095 ATLANTA HWY STE 200
Mailing Address - Street 2:
Mailing Address - City:FLOWERY BRANCH
Mailing Address - State:GA
Mailing Address - Zip Code:30542-5377
Mailing Address - Country:US
Mailing Address - Phone:770-945-7077
Mailing Address - Fax:770-965-8101
Practice Address - Street 1:6095 ATLANTA HWY STE 200
Practice Address - Street 2:
Practice Address - City:FLOWERY BRANCH
Practice Address - State:GA
Practice Address - Zip Code:30542-5377
Practice Address - Country:US
Practice Address - Phone:770-945-7077
Practice Address - Fax:770-965-8101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA80171223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty