Simone A Igleton
Dental Assistant
4536 Chamblee Dunwoody Rd
Atlanta
, Georgia 30338-6200
Simone A Igleton
Dental Assistant
4536 Chamblee Dunwoody Rd
Atlanta
, Georgia 30338-6200
(770) 784-8157
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About
Features
Specialties
- Dental Assistant
Languages spoken
- English
Location
First Address
- Simone A Igleton
- 35 Short Cir
- Covington, GA
- Zip : 30016-7698
- Phone : (770) 784-8157
Second Address
- Simone A Igleton
- 4536 Chamblee Dunwoody Rd
- Atlanta, GA
- Zip : 30338-6200
- Phone : (770) 455-1238
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 126800000X | Dental Assistant |
National Provider Identifier
| NPI | 1316103195 |
|---|---|
| Provider Name | Simone A Igleton |
| First Address | Covington, GA 30016-7698 |
| Second Address | Atlanta, GA 30338-6200 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/07/2008 |
| Last Update Date | 31/07/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.