Heartland Dental Care of Georgia

NPI #1003233107 in Canton, Georgia

Provider Information

NPI Number: 1003233107
Entity Type: Organization
Organization Name: Heartland Dental Care of Georgia
Subpart: Yes (part of a larger organization)
Parent Organization: HEARTLAND DENTAL CARE OF GEORGIA
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 26, 2014
Last Updated: Mar 26, 2014

Practice Location

Address: 3237 SIXES RD
City: Canton
State: Georgia
ZIP Code: 30114
Phone: (770) 450-1689

Authorized Official

Name: JEAN CORNELL
Title: CREDENTIALING COORDINATOR
Phone: (217) 540-8329

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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