Essential Dental, Inc.
NPI #1194295972 in Fort Oglethorpe, Georgia
Provider Information
- NPI Number
- 1194295972
- Entity Type
- Organization
- Organization Name
- Essential Dental, Inc.
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Dec 5, 2018
- Last Updated
- Dec 5, 2018
Practice Location
- Address
- ESSENTIAL DENTAL, INC
- Address 2
- 1188 CROSS STREET
- City
- Fort Oglethorpe
- State
- Georgia
- ZIP Code
- 30742
- Phone
- (706) 956-8893
Authorized Official
- Name
- DERRICK SNYDER
- Title
- VICE PRESIDENT
- Phone
- (419) 890-9978
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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