Marie D Saturne

Individual provider Active NPI General Practice Dentistry · Stone MTN., GA

NPI 1376747584 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1376747584
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
DN013248 (GA)
Practice address
1147 South Hairston Road
Stone MTN., GA 30088
Phone
(404) 297-6635
NPI assigned
Jun 12, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
DN013248GAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Oral Health Management PLLC Past Accepting new patients
Adam Diasti DDS & Associates P.C. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN013248 GA Yes

Addresses

Primary practice location

1147 South Hairston Road
Stone MTN., GA 30088

Mailing address

2502 N Rocky Point Dr
Suite 1000- Credentialing
Tampa, FL 33607-1421

Other providers in Stone MTN., GA

All providers in Stone MTN., GA · General Practice Dentistry in Georgia

Sources for this page

Verify at the official NPI Registry.