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 |
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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 |
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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 |
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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 |