| Ashford Dental Inc. Ii | |
|
101 Beckett Ln Suite 403 Fayetteville GA 30214-7155 | |
| (770) 461-0400 | |
| (770) 461-0280 |
| Full Name | Ashford Dental Inc. Ii |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 101 Beckett Ln, Fayetteville, Georgia |
| Authorized Official Name and Position | Robin Dwayne Ashford (OWNER) |
| Authorized Official Contact | 7704610400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ashford Dental Inc. Ii 101 Beckett Ln Suite 403 Fayetteville GA 30214-7155 Ph: (770) 461-0400 | Ashford Dental Inc. Ii 101 Beckett Ln Suite 403 Fayetteville GA 30214-7155 Ph: (770) 461-0400 |
| NPI Number | 1215101597 |
|---|---|
| Provider Enumeration Date | 04/17/2008 |
| Last Update Date | 04/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215101597 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 9996 (Georgia) | Primary |
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