Southern Pearl Dentistry

NPI #1942868450 in Hampton, Georgia

Provider Information

NPI Number: 1942868450
Entity Type: Organization
Organization Name: Southern Pearl Dentistry
Primary Specialty: Dentist
Enumeration Date: May 30, 2019
Last Updated: May 30, 2019

Practice Location

Address: 1883 MCDONOUGH RD
City: Hampton
State: Georgia
ZIP Code: 30228-3516
Phone: (404) 729-5159

Authorized Official

Name: DR. LATONYA GILLESPIE, DDS
Title: OWNER
Phone: (404) 729-5159

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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