Provider Demographics
NPI:1538261052
Name:PECHERA SPAULDING, JOCELYN P (DMD)
Entity type:Individual
Prefix:DR
First Name:JOCELYN
Middle Name:P
Last Name:PECHERA SPAULDING
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:JOCELYN
Other - Middle Name:
Other - Last Name:PECHERA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:1029 MENDELL CIR NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30319-2326
Mailing Address - Country:US
Mailing Address - Phone:404-634-5738
Mailing Address - Fax:888-626-8578
Practice Address - Street 1:1201 CLAIRMONT RD
Practice Address - Street 2:SUITE 200
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30030-1258
Practice Address - Country:US
Practice Address - Phone:404-634-5738
Practice Address - Fax:888-626-8578
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-04
Last Update Date:2010-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN012428122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist