Georgia Dental Alliance of Columbus

NPI #1053956771 in Columbus, Georgia

Provider Information

NPI Number: 1053956771
Entity Type: Organization
Organization Name: Georgia Dental Alliance of Columbus
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 18, 2019
Last Updated: Nov 18, 2019

Practice Location

Address: 6410 W HAMILTON PARK DR
City: Columbus
State: Georgia
ZIP Code: 31909-3004
Phone: (706) 653-8700

Authorized Official

Name: CHRISTOPHER SIMS
Title: CREDENTIALING SPECIALIST
Phone: (470) 552-1823

Specialties & Taxonomy Codes

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

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