| Ambrose Pediatric Dentistry Of Forsyth, Llc | |
|
120 N Lee St Ste D Forsyth GA 31029-2122 | |
| (478) 992-6507 | |
| Not Available |
| Full Name | Ambrose Pediatric Dentistry Of Forsyth, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 120 N Lee St Ste D, Forsyth, Georgia |
| Authorized Official Name and Position | Lori Wood (OFFICE MANAGER) |
| Authorized Official Contact | 4782757551 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ambrose Pediatric Dentistry Of Forsyth, Llc 120 N Lee St Ste D Forsyth GA 31029-2122 Ph: (478) 992-6507 | Ambrose Pediatric Dentistry Of Forsyth, Llc 120 N Lee St Ste D Forsyth GA 31029-2122 Ph: (478) 992-6507 |
| NPI Number | 1679136717 |
|---|---|
| Provider Enumeration Date | 04/15/2019 |
| Last Update Date | 04/15/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679136717 | NPI | - | NPPES |
| 1720441546 | Other | GA | NPI |
| 1093197337 | Other | GA | NPI |
| 1720193915 | Other | GA | NPI |
| 1801134135 | Other | GA | NPI |
| 1700972395 | Other | GA | NPI |
| 1609953413 | Other | GA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Deena Holliman Smith, Dmd, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 Medical Ct, Forsyth, GA 31029 Phone: 478-994-1171 | |
Southern Smiles Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 275 N Frontage Rd, Forsyth, GA 31029 Phone: 478-994-6473 |