NPI
Clarence Addison
NPI 1194902957
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- D.M.D.
- Type
- Individual
- Enumeration date
- 2008-01-23
- Last updated
- 2008-01-23
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Specialties
Licenses
- License GA
- 10977
Location
- Practice location
- 4045 Orchard Rd SE Ste 300
- City
- Smyrna GA
- Postal code
- 30080-4900
- Phone
- (770) 433-0445
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Smyrna, GA. 1,864 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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