Provider Demographics
NPI:1053796979
Name:SCARLETT, MARGARET IRENE (DMD)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:IRENE
Last Name:SCARLETT
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:175 17TH ST NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-3362
Mailing Address - Country:US
Mailing Address - Phone:404-808-9980
Mailing Address - Fax:
Practice Address - Street 1:227 SANDY SPRINGS PL
Practice Address - Street 2:SUITE 352
Practice Address - City:SANDY SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30328-5918
Practice Address - Country:US
Practice Address - Phone:404-445-1499
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-21
Last Update Date:2015-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA8806122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist