Provider Demographics
NPI:1306528450
Name:WOHLERS COSMETIC DENTIATRY
Entity type:Organization
Organization Name:WOHLERS COSMETIC DENTIATRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:WOHLERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-816-8200
Mailing Address - Street 1:3333 PIEDMONT RD
Mailing Address - Street 2:TERMINUS 200 SUITE 130
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305
Mailing Address - Country:US
Mailing Address - Phone:404-816-8200
Mailing Address - Fax:404-759-2875
Practice Address - Street 1:3333 PIEDMONT RD
Practice Address - Street 2:TERMINUS 200 SUITE 130
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30305
Practice Address - Country:US
Practice Address - Phone:404-816-8200
Practice Address - Fax:404-759-2875
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WOHLERS COSMETIC DENTISTRY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-08-07
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty