Search › Georgia › Orthodontics and Dentofacial Orthopedics Dentistry
Peter Bougas
NPI 1881829752 · on the registry since 2009 · sole proprietor
Practice
- Address
- 2381 Main St E Ste A
Snellville, GA 30078 - Phone
- (770) 979-5300
- Fax
- (770) 978-5928
- Organisation at this address
- Kent M. Mattison, D.M.D., P.C.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- Orthodontics and Dentofacial Orthopedics Dentistry
1223X0400X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-05-21
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