Georgia Dental Associates, LLC

NPI #1487293882 in Fitzgerald, Georgia

Provider Information

NPI Number
1487293882
Entity Type
Organization
Organization Name
Georgia Dental Associates, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
GEORGIA DENTAL ASSOCIATES, LLC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Jan 2, 2020
Last Updated
Jan 3, 2020

Practice Location

Address
320 BENJAMIN H HILL DR SW
State
Georgia
ZIP Code
31750-8694
Phone
(229) 423-7974

Authorized Official

Name
VICKI DAVIS
Title
PRACTIVE ADMIN
Phone
(229) 313-5083

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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