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
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 PracticeGeneral Practice

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