Most Relevant Information
Provider Data
| NPI Number: | 1003054156 |
| Provider Name: | JESSE HADER DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | DN006221 |
Most Important Dates
| Enumeration Date: | 01/28/2009 |
| Last Updated: | 12/28/2011 |
Provider Practice Location
3648 PEACHTREE RD NE
PENTHOUSE 4-S
ATLANTA
GA
303191255
Practice Location Phone/Fax
| Phone: | 4048421196 |
| Fax: | 4048421198 |
Provider Mailing Location
3648 PEACHTREE RD NE
PENTHOUSE 4-S
ATLANTA
GA
303191255
Provider Mailing Phone/Fax
| Phone: | 4048421196 |
| Fax: | 4048421198 |