Northeast Georgia Dental Group
NPI #1013121359 in Gainesville, Georgia
Provider Information
- NPI Number
- 1013121359
- Entity Type
- Organization
- Organization Name
- Northeast Georgia Dental Group
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 9, 2007
- Last Updated
- Oct 19, 2011
Practice Location
- Address
- 1200 SHERWOOD PARK DR NE
- City
- Gainesville
- State
- Georgia
- ZIP Code
- 30501-3445
- Phone
- (770) 532-4555
Authorized Official
- Name
- DR. RICHARD G. BENNETT
- Title
- OWNER
- Phone
- (770) 532-4555
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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