Eric Katsnelson

Dentist · Covington, GA

Individual Active NPI

NPI number 1093344061

Practice location

3133 Highway 278 NW
Covington, GA 30014
Phone
(470) 205-8802

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NPI record

NPI
1093344061
Entity type
Individual (Type 1)
Enumeration date
April 2, 2020
Last updated
December 14, 2021
Certified
December 3, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X DN122528 GA
General Practice Dentistry 1223G0001X DN26306 FL
Student in an Organized Health Care Education/Training Program 390200000X — —

Mailing address

22 14TH St NW
Atlanta, GA 30309-4688
Phone
(718) 753-2445

About Eric Katsnelson

Eric Katsnelson is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 3133 Highway 278 NW, Covington, GA 30014. The NPI number 1093344061 was assigned on April 2, 2020 and the record was last updated on December 14, 2021.

Eric Katsnelson lists 2 licenses in the registry: #DN122528 (GA) for Dentist; #DN26306 (FL) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Eric Katsnelson?

The NPI number is 1093344061.

What is the phone number of Eric Katsnelson?

The phone number listed for the practice location is (470) 205-8802.

Where is Eric Katsnelson located?

3133 Highway 278 NW, Covington, GA 30014.

What is the taxonomy code for Eric Katsnelson?

The primary taxonomy code is 122300000X – Dentist; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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