Brant Sandifer Dmd LLC
NPI #1356924815 in Watkinsville, Georgia
Provider Information
- NPI Number
- 1356924815
- Entity Type
- Organization
- Organization Name
- Brant Sandifer Dmd LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- May 3, 2021
- Last Updated
- May 3, 2021
Practice Location
- Address
- 1520 JENNINGS MILL RD STE A
- City
- Watkinsville
- State
- Georgia
- ZIP Code
- 30677-7308
- Phone
- (706) 353-1958
Authorized Official
- Name
- DR. BRANT SANDIFER, DMD
- Title
- OWNER
- Phone
- (229) 402-9532
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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