Grodin, Evan Daniel

Grodin, Evan Daniel is an individual health care provider with primary practice located at 3280 Howell Mill Rd Nw Ste 327 , Atlanta GA 30327-4109. He recently has 2 registered licenses in different health care specialties including Dental Providers / Periodontics, Dental Providers / Prosthodontics. Dental Providers / Prosthodontics is his primary health care specialty. Grodin, Evan Daniel can be contacted via phone (470) 451-0981.

Contact Information

Primary practice address
3280 Howell Mill Rd Nw Ste 327 Atlanta GA 30327-4109
Phone: (470) 451-0981
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X DN014335 Georgia
Dental Providers / Prosthodontics 1223P0700X DN014335 Georgia

Profile Details

NPI number 1437497047
LBN Legal business name Grodin, Evan Daniel
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2013
Last updated Sep 27th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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