Georgia Dental Alliance of Greensboro
NPI #1710522065 in Greensboro, Georgia
Provider Information
- NPI Number
- 1710522065
- Entity Type
- Organization
- Organization Name
- Georgia Dental Alliance of Greensboro
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 11, 2019
- Last Updated
- Feb 15, 2022
Practice Location
- Address
- 1000 COWLES CLINC WAY STE W-200
- City
- Greensboro
- State
- Georgia
- ZIP Code
- 30642-4539
- Phone
- (706) 454-0044
Authorized Official
- Name
- JENNI TOMLINSON
- Title
- CREDENTIALING SPECIALIST
- Phone
- (678) 986-7116
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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