Prime Dental LLC
NPI #1497109540 in Fort Oglethorpe, Georgia
Provider Information
- NPI Number
- 1497109540
- Entity Type
- Organization
- Organization Name
- Prime Dental LLC
- Primary Specialty
- Dentist
- Enumeration Date
- Apr 14, 2016
- Last Updated
- Apr 14, 2016
Practice Location
- Address
- 17 PARKWAY DR
- City
- Fort Oglethorpe
- State
- Georgia
- ZIP Code
- 30742-4249
- Phone
- (706) 944-3122
Authorized Official
- Name
- JENNIFER LA DUC
- Title
- PROVIDER RELATIONS
- Phone
- (351) 454-6000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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Organizations
| Provider Name | |
|---|---|
| Ga Prime Dental, L.l.c. | AI Deep Dive |
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