Heartland Dental Care of Georgia, P.c.

NPI #1144659996 in Braselton, Georgia

Provider Information

NPI Number: 1144659996
Entity Type: Organization
Organization Name: Heartland Dental Care of Georgia, P.c.
Subpart: Yes (part of a larger organization)
Parent Organization: HEARTLAND DENTAL CARE OF GEORGIA, P.C.
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 2, 2013
Last Updated: Nov 2, 2013

Practice Location

Address: 2625 OLD WINDER HWY STE G
City: Braselton
State: Georgia
ZIP Code: 30517-7021
Phone: (855) 343-4056

Authorized Official

Name: KIM WILSON
Title: CRED. SUPERVISOR
Phone: (217) 540-5170

Specialties & Taxonomy Codes

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

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