Iaculli, John
Iaculli, John is an individual health care provider with primary practice located at 2230 Towne Lake Pkwy Building 1100, Ste 100, Woodstock GA 30189-5540. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Iaculli, John can be contacted via phone (678) 445-9191.Contact Information
Primary practice address
2230 Towne Lake Pkwy Building 1100, Ste 100
Woodstock GA 30189-5540
Phone: (678) 445-9191
Fax: (678) 445-9173
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | DN014111 | Georgia |
Profile Details
| NPI number | 1326340407 |
|---|---|
| LBN Legal business name | Iaculli, John |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 23rd, 2010 |
| Last updated | Nov 23rd, 2010 - about 16 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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