Slate Family Dentistry

NPI #1205652666 in La Fayette, Georgia

Provider Information

NPI Number: 1205652666
Entity Type: Organization
Organization Name: Slate Family Dentistry
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 2, 2024
Last Updated: Dec 2, 2024

Practice Location

Address: 1213 N MAIN ST
City: La Fayette
State: Georgia
ZIP Code: 30728-2136
Phone: (706) 638-1114

Authorized Official

Name: DR. TYLER AUSTIN SLATE, DMD
Title: GENERAL DENTIST/PRACTICE OWNER
Phone: (404) 644-9649

Specialties & Taxonomy Codes

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

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