Perry Dental Associates LLC

NPI #1780830919 in Perry, Georgia

Provider Information

NPI Number: 1780830919
Entity Type: Organization
Organization Name: Perry Dental Associates LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 7, 2008
Last Updated: Aug 7, 2008

Practice Location

Address: 1102 MORNINGSIDE DR
City: Perry
State: Georgia
ZIP Code: 31069-2906
Phone: (478) 987-2402

Authorized Official

Name: BRISTOL SHELTON
Title: OFFICE MANAGER
Phone: (478) 987-2402

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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