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Dr. Anisa Maryam Alam, DMD
General Practice Dentistry in Decatur, Georgia
NPI 1386429728

Anisa Maryam Alam is a General Practice Dentistry based in Decatur, GA and is specialized in General Practice. Anisa Maryam Alam practices in Decatur, GA and has the professional credentials of DMD. The NPI Number for Anisa Maryam Alam is 1386429728 and holds a License No. DN123230 (Georgia).

The current practice location address for Anisa Maryam Alam is 2570 Blackmon Dr Ste 310, Decatur, GA and can be reached out via phone at 678-203-3462.

Location: 2570 Blackmon Dr Ste 310, Decatur, GA, 30033-6197
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386429728
Provider Name
Anisa Maryam Alam
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
2570 Blackmon Dr Ste 310, Decatur, GA, 30033-6197
Phone Number
678-203-3462
Fax Number
Provider Enumeration Date
08/25/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2570 Blackmon Dr Ste 310
City
Decatur
State
Georgia
Zip
30033-6197
Phone Number
678-203-3462
Fax Number
person
Provider Business Mailing Address Details
Address
2570 Blackmon Dr Ste 310
City
Decatur
State
Georgia
Zip
30033-6197
Phone Number
678-203-3462
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DN123230 (Georgia)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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