Trager, Peter S

Trager, Peter S is an sole proprietor health care provider with primary practice located at 2480 Windy Hill Rd Se Ste 405, Marietta GA 30067-8658. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Trager, Peter S can be contacted via phone (770) 952-0136.

Contact Information

Primary practice address
2480 Windy Hill Rd Se Ste 405 Marietta GA 30067-8658
Fax: (770) 952-0137
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 7814 Georgia

Profile Details

NPI number 1386647139
LBN Legal business name Trager, Peter S
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2005
Last updated Mar 30th, 2009 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1386647139 NPPES
Georgia MEDICAID 00051785B

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