Greencastle Dental

NPI #1699299545 in Tyrone, Georgia

Provider Information

NPI Number: 1699299545
Entity Type: Organization
Organization Name: Greencastle Dental
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Aug 2, 2017
Last Updated: Aug 9, 2017

Practice Location

Address: 195 GREENCASTLE RD
City: Tyrone
State: Georgia
ZIP Code: 30290-2938
Phone: (770) 486-5585

Authorized Official

Name: MRS. ANGELA HOLLY COPE
Title: FRONT OFFICE
Phone: (770) 486-5585

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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