Village Grove Dental, P.c.

NPI #1821871732 in Suwanee, Georgia

Provider Information

NPI Number: 1821871732
Entity Type: Organization
Organization Name: Village Grove Dental, P.c.
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 15, 2023
Last Updated: Aug 15, 2023

Practice Location

Address: 4320 SUWANEE DAM RD STE 1800
City: Suwanee
State: Georgia
ZIP Code: 30024-1949
Phone: (770) 932-0290

Authorized Official

Name: BEN CUTLER
Title: SECRETARY
Phone: (607) 743-9474

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - Endodontics — Endodontics	1223E0200X
Dentist - Periodontics — Periodontics	1223P0300X
Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery	1223S0112X
Dentist - General Practice — General Practice	1223G0001X	Primary

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