Search › Georgia › 1223X0400X
John Dierkes, DDS MS FICCMO
NPI 1831358795 · on the registry since 2008 · sole proprietor
Practice
- Address
- 603 W Crossville Rd
Roswell, GA 30075 - Phone
- (678) 352-0919
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1223X0400X
1223X0400X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-09-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia