Van Tuyl Dental Group

NPI #1811121445 in Jasper, Georgia

Provider Information

NPI Number: 1811121445
Entity Type: Organization
Organization Name: Van Tuyl Dental Group
Primary Specialty: Dentist
Enumeration Date: May 11, 2009
Last Updated: May 11, 2009

Practice Location

Address: 929 COVE RD
Address 2: SUITE F
City: Jasper
State: Georgia
ZIP Code: 30143-4444
Phone: (706) 692-3759

Authorized Official

Name: JAMIE L DICKERSON
Title: OFFICE MANAGER
Phone: (770) 345-6600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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