Provider Demographics
NPI:1194997940
Name:JUDITH A FINKELMAN DDS PC
Entity type:Organization
Organization Name:JUDITH A FINKELMAN DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTITS/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:A
Authorized Official - Last Name:FINKELMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:770-642-9824
Mailing Address - Street 1:8560 HOLCOMB BRIDGE RD
Mailing Address - Street 2:STE 119
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30022-5988
Mailing Address - Country:US
Mailing Address - Phone:770-642-9824
Mailing Address - Fax:770-642-8540
Practice Address - Street 1:8560 HOLCOMB BRIDGE RD
Practice Address - Street 2:STE 119
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30022-5988
Practice Address - Country:US
Practice Address - Phone:770-642-9824
Practice Address - Fax:770-642-8540
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-01
Last Update Date:2008-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN010318261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA108039OtherDORAL USA