Statesboro Pediatric Dentistry, LLC
NPI #1568935286 in Statesboro, Georgia
Provider Information
- NPI Number
- 1568935286
- Entity Type
- Organization
- Organization Name
- Statesboro Pediatric Dentistry, LLC
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Jan 4, 2019
- Last Updated
- Jan 4, 2019
Practice Location
- Address
- 613 E GRADY ST
- City
- Statesboro
- State
- Georgia
- ZIP Code
- 30458-5104
- Phone
- (478) 456-5907
Authorized Official
- Name
- DR. ANJALI PURI PATEL, DMD
- Title
- DENTIST/OWNER
- Phone
- (478) 456-5907
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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