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Jasmine Aliza Butler, DDS
Pediatric Dentist in Marietta, Georgia
NPI 1326623661

Jasmine Aliza Butler is a Pediatric Dentist based in Marietta, GA and is specialized in Pediatric Dentistry. Jasmine Aliza Butler practices in Marietta, GA and has the professional credentials of DDS. The NPI Number for Jasmine Aliza Butler is 1326623661 and holds a License No. DN122636 (Georgia).

The current practice location address for Jasmine Aliza Butler is 2880 Johnson Ferry Rd Ste 100, Marietta, GA and can be reached out via phone at 678-813-2388.

Location: 2880 Johnson Ferry Rd Ste 100, Marietta, GA, 30062-8368
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326623661
Provider Name
Jasmine Aliza Butler
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
2880 Johnson Ferry Rd Ste 100, Marietta, GA, 30062-8368
Phone Number
678-813-2388
Fax Number
Provider Enumeration Date
03/17/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2880 Johnson Ferry Rd Ste 100
City
Marietta
State
Georgia
Zip
30062-8368
Phone Number
678-813-2388
Fax Number
person
Provider Business Mailing Address Details
Address
2880 Johnson Ferry Rd Ste 100
City
Marietta
State
Georgia
Zip
30062-8368
Phone Number
678-813-2388
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
DN122636 (Georgia)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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