Heartland Dental Care of Georgia, P.c.
NPI #1205249570 in Lawrenceville, Georgia
Provider Information
- NPI Number
- 1205249570
- 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
- Jun 4, 2014
- Last Updated
- Jun 4, 2014
Practice Location
- Address
- 4795 SUGARLOAF PKWY
- City
- Lawrenceville
- State
- Georgia
- ZIP Code
- 30044-6984
- Phone
- (678) 253-6455
Authorized Official
- Name
- KENDRA WALKER
- Title
- CREDENTIALING COORDINATOR
- Phone
- (217) 540-8312
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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