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-- JOHN HUTCHINGS AMBROSE Jr. DMD

Individual Provider (NPI-1) Active

Dentist, Pediatric Dentistry

Provider Information

NPI Number
1700972395
Provider Type
Individual Provider (NPI-1)
Credentials
DMD
Status
Active

Contact & Location

Address
4536 CHAMBLEE DUNWOODY RD SUITE 211, ATLANTA, GA, 303386200
Phone
(770) 455-1238
Fax
(770) 452-6421

Specialties & Taxonomies

Dentist, General Practice License: GA #DN012737
Dentist, General Practice License: VA #0401411248
Dentist, General Practice License: IN #12010811A
Dentist, General Practice License: NY #50-052728-1
Dentist, Pediatric Dentistry Primary License: GA #DN012737

All Addresses

LOCATION

4536 CHAMBLEE DUNWOODY RD SUITE 211

ATLANTA, GA, 303386200

(770) 455-1238

MAILING

160 PIERCE AVE

MACON, GA, 312042871

(478) 743-0901