| Azalea City Family Dentistry | |
|
414 Pendleton Pl Valdosta GA 31602-2603 | |
| (229) 244-3700 | |
| (229) 247-0373 |
| Full Name | Azalea City Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 414 Pendleton Pl, Valdosta, Georgia |
| Authorized Official Name and Position | William W Broadfoot (CEO) |
| Authorized Official Contact | 2292443700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Azalea City Family Dentistry 414 Pendleton Pl Valdosta GA 31602-2603 Ph: (229) 244-3700 | Azalea City Family Dentistry 414 Pendleton Pl Valdosta GA 31602-2603 Ph: (229) 244-3700 |
| NPI Number | 1295978047 |
|---|---|
| Provider Enumeration Date | 04/09/2009 |
| Last Update Date | 04/09/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295978047 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN007995 (Georgia) | Primary |
Ronald K. Reagin, Jr. D.m.d., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2309 N Patterson St, Valdosta, GA 31602 Phone: 229-244-4656 | |
South Georgia Pediatric Denitstry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3227 N Oak Street Ext, Suite A, Valdosta, GA 31605 Phone: 229-247-3200 | |
Advanced Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3211 Wildwood Plantation Dr, Valdosta, GA 31605 Phone: 229-242-4441 Fax: 229-242-4471 | |
C Heather Colson Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3000 N Patterson St, Valdosta, GA 31602 Phone: 229-242-2449 Fax: 229-242-2699 | |
North Valdosta Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 802 Northwood Park Dr, Valdosta, GA 31602 Phone: 229-242-0825 Fax: 229-242-0167 | |
Affordable Dentures & Implants - Valdosta Iv, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 282 Norman Dr Ste D, Valdosta, GA 31601 Phone: 229-241-7319 | |
Valdosta Dental Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 W Cranford Ave, Valdosta, GA 31602 Phone: 229-249-0717 Fax: 229-249-0799 |