OrganizationActive
South East Dental
NPI 1427277458 · General Practice Dentistry · Chamlee, GA
Provider details
- NPI number
- 1427277458
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jacqueline Pham, President(770) 452-1400
Specialties & taxonomies
Dental Providers
Practice location
4649 Buford Hwy
Chamlee, GA 30341
Phone: (770) 452-1400
Approximate (ZIP-level) locationGet directions
Mailing address
4649 Buford Hwy
Chamlee, GA 30341
Registry dates
- Enumerated
- 2007-04-25
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.